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

Jennifer Luzentales, APN-FNP

Individual provider Nurse Practitioner · NPI 1366896631

Jennifer Luzentales, APN-FNP is a Nurse Practitioner in Waukegan, Illinois. Qualified in 1998, 28 years ago. Practices with Froedtert South Inc, a 156-clinician group and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
28
Licensed in
IL, WI
In the registry since
2016
Specialties on file
3

Practice location Address checks out

1616 Grand Ave Ste A
Waukegan, IL 60085-3676
Phone: (847) 249-1733
Fax: (847) 782-4515
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 16552 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 209013996 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 209013996 (IL)

Record details

NPI number1366896631
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN-FNP
Sole proprietorNo
NPI enumeratedApril 22, 2016
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Froedtert South Inc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Waukegan