MR. JONATHAN ERIC JUSKO RN PA-C NPI 1558431783

NPI Information

  • NPI: 1558431783
  • Provider Name: MR. JONATHAN ERIC JUSKO, RN, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 400 S KENNEDY DR
    SUITE 100
    BRADLEY, IL
    ZIP 60915
  • Phone: (815) 928-8060

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NPI Details

MR. Jonathan Eric Jusko, RN, PA-C is a surgical physician assistant in Bradley, IL with 20 years of experience. MR. Jonathan Eric Jusko, RN, PA-C NPI is 1558431783. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

400 S KENNEDY DR
SUITE 100
BRADLEY, IL
ZIP 60915-682
Phone: (815) 928-8060
Fax: (800) 505-2218

The NPI 1558431783 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 11/8/2006 and was last updated on 3/10/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical10000984AINDIANANo
2163W00000XRegistered Nurse28154059AINDIANANo
3363AS0400XPhysician AssistantSurgical085002855ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00668377MEDICARE PININDIANA
2P00668381MEDICARE PINILLINOIS
301618941OTHERILLINOISBLUECROSS/BLUESHIELD
4Q72616MEDICARE UPINILLINOIS
5408430DDMEDICARE PININDIANA
6K32088MEDICARE PINILLINOIS
7K34251MEDICARE PINILLINOIS
8K35455MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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