Active NPI
Jolinn Tripp, AGNP-C
- Gerontology Nurse Practitioner
- Quincy, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 209016967
- Practice address
- 927 Broadway St
Quincy, IL 62301-2719 - Phone
- (217) 223-8400
- Fax
- (217) 228-3251
- NPI assigned
- May 22, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041327994 | IL | |
| Gerontology Nurse Practitioner | 363LG0600X | 209016967 | IL | Primary |
Addresses
Primary practice location
927 Broadway St
Quincy, IL 62301-2719
Mailing address
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
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
Enrollment records 1
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
Practice addresses (Care Compare)
927 Broadway St
Quincy, IL 62301-2719
Phone (217) 224-6423
Hospital & facility affiliations
- Blessing Home Care
- Blessing Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041327994 | IL | MD | Registered Nurse |
| 209016967 | IL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Central Pathology Specialists, S.C. | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Quincy Clinical Laboratory Services SC | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Blessing Corporate Services Inc | Past | Accepting new patients | |
| Blessing Hospital | Past | Accepting new patients |
Locations
2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222
927 Broadway St
Ste 201
Quincy, IL 62301
Phone (217) 214-6267
420 N 34th St
Quincy, IL 62301
Phone (217) 214-9626
1005 Broadway St
Quincy, IL 62301
927 Broadway St
Ste 120
Quincy, IL 62301
Phone (217) 214-6200
Interoperability endpoints
- jolinntripp@bcs.allscriptsdirect.net
- https://fhir.blessinghospital.com/R4/open-Prod
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Quincy, IL
- NPI 1114471737
-
- Social Worker
- Quincy, IL
- NPI 1073918462
-
- Anatomic Pathology & Clinical Pathology Physician
- Quincy, IL
- NPI 1114773272
-
- Anatomic Pathology & Clinical Pathology Physician
- Quincy, IL
- NPI 1083895452
-
- Rural Health Clinic/Center
- Monroe City, MO
- NPI 1013683507
-
- Rural Health Clinic/Center
- Warsaw, IL
- NPI 1720186265
-
- Emergency Medical Services (Emergency Medicine) Physician
- Quincy, IL
- NPI 1558489021
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Quincy, IL
- NPI 1548269426
-
- General Acute Care Hospital
- Quincy, IL
- NPI 1760571699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1275060154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 BROADWAY ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012834",
"telephone_number": "217-223-8400",
"fax_number": "217-228-3251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 BROADWAY ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012719",
"telephone_number": "217-223-8400",
"fax_number": "217-228-3251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIPP",
"first_name": "JOLINN",
"credential": "AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-22",
"last_updated": "2023-11-27",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041327994",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IL",
"license": "209016967",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.