Individual provider Active NPI

Julie Ann Bear

  • Family Nurse Practitioner
  • Moline, IL
National Provider Identifier
1225547946
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209016906 Issued in IL
Practice address
525 Valley View Dr
Moline, IL 61265-6138
Phone
(309) 762-9869
Fax
(309) 762-2313
NPI assigned
Sep 26, 2017
Last updated
May 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209016906 IL Primary

Addresses

Primary practice location

525 Valley View Dr
Moline, IL 61265-6138

Mailing address

5006 47TH Ave
Moline, IL 61265-6729
Phone (309) 235-5286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180117000527 IL Practitioner - Nurse Practitioner 1850650094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Therapy Services, LTD.Group PAC ID 9133101462, shared by 5 NPIs, 216 clinicians

Practice addresses (Care Compare)

300 Tenney St
Kewanee, IL 61443-3452
Phone (309) 853-5500

525 Valley View Dr
Moline, IL 61265-6138
Phone (309) 762-9869

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209016906ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Dec 10, 2017 Accepting new patients
Advanced Radiology, S.C. Past Accepting new patients

Locations

600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342

106 19th Ave
Ste 103
Moline, IL 61265
Phone (309) 779-7050

3904 16th St
Ste A
Moline, IL 61265
Phone (309) 581-7620

3904 16th St
Ste C
Moline, IL 61265
Phone (309) 581-7610

525 Valley View Dr
Moline, IL 61265
Phone (309) 601-2800

5401 44th Avenue Dr
Ste 100
Moline, IL 61265
Phone (309) 779-5439

2550 24th St
Rock Island, IL 61201
Phone (309) 779-7050

Interoperability endpoints

  • Direct secure messaging: jbear89183@direct.unitypoint.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1225547946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 47TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656729",
            "telephone_number": "309-235-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656138",
            "telephone_number": "309-762-9869",
            "fax_number": "309-762-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAR",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.