Jenell Jackley, CPNP
NPI 1942502612 · Pediatric Nurse Practitioner · Kenosha, WI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jenell Jackley, CPNP is a Pediatric Nurse Practitioner provider in Kenosha, WI (NPI 1942502612).
Provider details
- NPI number
- 1942502612
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 041.389592 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 917 Sherwood DrLake Bluff, IL 60044-2203Phone: (847) 295-1220
- 6809 122nd AveKenosha, WI 53142-7335Phone: (262) 891-6600Fax: (262) 891-6602
Registry dates
- Enumerated
- 2010-11-30
- Last updated
- 2023-09-07
- Certified
- 2023-09-07
Frequently asked questions
- What is Jenell Jackley's NPI number?
- Jenell Jackley's National Provider Identifier (NPI) is 1942502612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jenell Jackley's specialty?
- Jenell Jackley is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jenell Jackley located?
- Jenell Jackley's practice location on file with NPPES is 4006 Washington Rd, Kenosha, WI 53144-4819.
- What is Jenell Jackley's phone number?
- The practice phone number listed in the NPPES registry for Jenell Jackley is (262) 656-0044.
- Does Jenell Jackley accept Medicare?
- Jenell Jackley is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jenell Jackley's NPI active?
- Yes — Jenell Jackley's NPI (1942502612) is active in the NPPES registry as of the last update on 2023-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.