NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Jerry Lee Jensen, DO

Family Medicine Physician in South Holland, IL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558372615

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)
Name Dr. Jerry Lee Jensen
Credential DO
Sex Male
Practice address South Holland, IL, 60473
Phone (708) 331-5100
Fax (708) 331-5005
Enumeration date Aug 11, 2006
Last updated in NPPES Jul 25, 2023

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 036071680 (IL) Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
0031603768 Other IL BLUE CROSS
036071680 Medicaid IL -
14D0913083 Other - CLIA NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Jerry Jensen practice?
The practice location on file with NPPES is in South Holland, IL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jerry Jensen?
The National Provider Identifier (NPI) for Jerry Jensen is 1558372615, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-07-25.