Individual provider Active NPI

Julio Delgadillo, NP

  • Nurse Practitioner
  • Lena, IL
National Provider Identifier
1134523657
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209-012166 Issued in IL
Practice address
214 North Schuyler Street
Lena, IL 61048-8712
Phone
(815) 369-4541
NPI assigned
Oct 13, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041380871 IL
Nurse Practitioner 363L00000X 209-012166 IL Primary

Addresses

Primary practice location

214 North Schuyler Street
Lena, IL 61048-8712

Mailing address

515 22ND Avenue
Monroe, WI 53566-1569

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jdelgadillo8897@direct.monroeclinic.org Direct
FHIR URL https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141211002109 IL Practitioner - Nurse Practitioner 3870815343 Reassigns benefits to 1 organization
I20170419002410 WI Practitioner - Nurse Practitioner 3870815343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Monroe Clinic, Inc.Group PAC ID 3072425495, shared by 7 NPIs, 199 clinicians

Practice addresses (Care Compare)

214 N Schuyler St
Lena, IL 61048-9729
Phone (815) 369-4541

515 22ND Ave
Monroe, WI 53566-1569
Phone (608) 324-2000

Hospital & facility affiliations

  • The Monroe Clinic Hospital, Monroe, WI, CCN 520028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041380871ILMDRegistered Nurse
209-012166ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Monroe Clinic, Inc. CurrentSince Mar 26, 2016 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Mar 18, 2017 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Mar 26, 2016 Accepting new patients

Locations

400 S Center St
Durand, IL 61024
Phone (815) 248-3443

1301 Kiwanis Dr
Freeport, IL 61032
Phone (815) 235-1406

214 N Schuyler St
Lena, IL 61048
Phone (815) 369-4541

700 Carolan Dr
Albany, WI 53502
Phone (608) 862-1616

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

Interoperability endpoints

  • Direct secure messaging: jdelgadillo407900@direct-ehr-ssmhc.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1134523657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 22ND AVENUE",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 NORTH SCHUYLER STREET",
            "city": "LENA",
            "state": "IL",
            "postal_code": "610488712",
            "telephone_number": "815-369-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADILLO",
        "first_name": "JULIO",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-13",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041380871",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-012166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdelgadillo8897@direct.monroeclinic.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jdelgadillo8897@direct.monroeclinic.org",
            "address_1": "214 North Schuyler Street",
            "city": "Lena",
            "state": "IL",
            "country_code": "US",
            "postal_code": "610488712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "214 North Schuyler Street",
            "city": "Lena",
            "state": "IL",
            "country_code": "US",
            "postal_code": "610488712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lena, IL

Sources for this page

Verify at the official NPI Registry.