Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennie Rebecca Krull, PMHNP-BC

Individual provider Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist · NPI 1518322510

Jennie Rebecca Krull, PMHNP-BC is a Nurse Practitioner in Rockford, Illinois. Qualified in 2018, 8 years ago. Practices with Edgewood Clinical Services PC, a 292-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2015
Specialties on file
4
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

555 S Perryville Rd Ste 130
Rockford, IL 61108-2527
Phone: (815) 995-2201
Fax: (224) 999-4002
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 Lions Dr Ste 221, Barrington, IL 60010-3175 — (847) 865-4125

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 377000394 (IL)
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0807X · Licence 277000398 (IL)
Adult Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0809X · Licence 277000398 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 277000398 (IL)

Record details

NPI number1518322510
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedDecember 18, 2015
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Edgewood Clinical Services P.C. — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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