NPIMap

Individual provider Active NPI

Jill M Cucinella, FNP-C

  • Family Nurse Practitioner
  • Vincennes, IN
National Provider Identifier
1285087973
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71006392A Issued in IN
Practice address
406 N 1St St
Vincennes, IN 47591-1340
Phone
(812) 885-6950
Fax
(812) 885-6951
NPI assigned
Jul 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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 71006392A IN Primary

Addresses

Primary practice location

406 N 1St St
Vincennes, IN 47591-1340

Mailing address

406 N 1St St
Vincennes, IN 47591-1340
Phone (812) 885-6950

Other identifiers 2

IdentifierTypeStateIssuer
201375380MedicaidIN
000001039566OtherINANTHEM

Other names 1

  • Jill Marie Frisz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230214001435 IL Practitioner - Nurse Practitioner 3971898867 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crawford Hospital District 71 clinicians

Practice addresses (Care Compare)

1000 N Allen St
Robinson, IL 62454-1114
Phone (618) 546-5600

Hospital & facility affiliations

  • Crawford Memorial Hospital Hospital, Robinson, IL, CCN 141343
  • Lawrence County Memorial Hospital Hospital, Lawrenceville, IL, CCN 141344
  • Good Samaritan Hospital Hospital, Vincennes, IN, CCN 150042

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71006392AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence County Memorial Hospital Current Accepting new patients
Lawrence County Memorial Hospital Current Accepting new patients
Associated Pathologists, LLC Current Accepting new patients
Crawford Hospital District Current Accepting new patients
Crawford Hospital District CurrentSince Jan 31, 2023 Accepting new patients
Lawrence County Memorial Hospital CurrentSince May 1, 2023 Accepting new patients
Crawford Hospital District CurrentSince Jan 31, 2023 Accepting new patients
Crawford Hospital District CurrentSince Jan 7, 2026 Accepting new patients
Crawford Hospital District Past Accepting new patients

Locations

2111 Lexington Ave
Lawrenceville, IL 62439
Phone (618) 943-6202

2200 State St
Lawrenceville, IL 62439
Phone (618) 943-1000

1002 N Allen St
Ste B
Robinson, IL 62454

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1285087973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 N 1ST ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911340",
            "telephone_number": "812-885-6950",
            "fax_number": "812-885-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N 1ST ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911340",
            "telephone_number": "812-885-6950",
            "fax_number": "812-885-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUCINELLA",
        "first_name": "JILL",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006392A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201375380",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000001039566",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "FRISZ",
            "middle_name": "MARIE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.