Individual provider Active NPI

Jill Suzanne Cease, CNP

  • Family Nurse Practitioner
  • Hines, MN
National Provider Identifier
1245284249
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP2688 Issued in MN
Practice address
20399 Turtle River Lake Rd NE
Hines, MN 56647
Phone
(218) 368-2093
Fax
(218) 835-3301
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 813 AK
Family Nurse Practitioner 363LF0000X CNP2688 MN Primary

Addresses

Primary practice location

20399 Turtle River Lake Rd NE
Hines, MN 56647

Mailing address

20399 Turtle River Lake Rd NE
Hines, MN 56647
Phone (218) 368-2093

Other identifiers 6

IdentifierTypeStateIssuer
102712300MedicaidMN
1032258OtherMNMN PREFERRED ONE
01-10162OtherMNMEDICA
HP39261OtherMNHEALTHPARTNERS
310T4CEOtherMNBLUECROSS BLUESHIELD
500029685OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TX2 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
I20070111000049 MN Practitioner - Nurse Practitioner 3971503269 Reassigns benefits to 2 organizations
I20190417000304 TX Practitioner - Nurse Practitioner 3971503269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20399 Turtle River Lake Rd NE
Hines, MN 56647-5742

3620 Bemidji Ave N
Bemidji, MN 56601-4333
Phone (218) 368-2093

Hospital & facility affiliations

  • Sanford Bemidji Medical Center Hospital, Bemidji, MN, CCN 240100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
813AKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium CurrentSince May 8, 2019 Accepting new patients
Twin Lakes Primary Care Services, LLC CurrentSince May 1, 2019 Accepting new patients
St. Joseph'S Area Health Services Current Accepting new patients
St Joseph'S Area Health Services CurrentSince Aug 1, 2014 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince May 8, 2019 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients

Locations

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

3314 Solutions Ctr
Chicago, IL 60677

3620 Bemidji Ave N
Bemidji, MN 56601
Phone (218) 751-4936

600 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 732-3311

Organizations & group practices 6

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 2

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1245284249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20399 TURTLE RIVER LAKE RD NE",
            "city": "HINES",
            "state": "MN",
            "postal_code": "56647",
            "telephone_number": "218-368-2093",
            "fax_number": "218-835-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20399 TURTLE RIVER LAKE RD NE",
            "city": "HINES",
            "state": "MN",
            "postal_code": "56647",
            "telephone_number": "218-368-2093",
            "fax_number": "218-835-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEASE",
        "first_name": "JILL",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "813",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP2688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102712300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN PREFERRED ONE",
            "identifier": "1032258",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "01-10162",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP39261",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "310T4CE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500029685",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hines, MN

Sources for this page

Verify at the official NPI Registry.