Individual provider Active NPI

Juliana Gonzales-Hannon, CNP

  • Family Nurse Practitioner
  • Crystal Lake, IL
National Provider Identifier
1285099622
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.0132.86 Issued in IL
Practice address
360 Station Dr
Crystal Lake, IL 60014
Phone
(815) 338-6600
Fax
(815) 455-8044
NPI assigned
Dec 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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 209.0132.86 IL Primary
Nurse Practitioner 363L00000X 209013286 IL

Addresses

Primary practice location

360 Station Dr
Crystal Lake, IL 60014

Mailing address

360 Station Dr
Crystal Lake, IL 60014-7978
Phone (815) 338-6600

Other practice location 1

1925 Huntley Rd
West Dundee, IL 60118-9301
Phone (815) 338-6600

Other practice location 2

2507 N Richmond Rd
McHenry, IL 60051-5407
Phone (815) 338-6600

Other practice location 3

10350 Haligus Rd
Huntley, IL 60142-9545
Phone (815) 338-6600

Other identifiers 1

IdentifierTypeStateIssuer
209013286OtherILSTATE LICENSE

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
I20160210002560 IL Practitioner - Nurse Practitioner 6406150523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Practice addresses (Care Compare)

10350 Haligus Rd
Huntley, IL 60142-9545

360 Station Dr
Crystal Lake, IL 60014-7978
Phone (815) 788-7500

515 Valley View Dr
Suite 201
Moline, IL 61265-6175
Phone (312) 695-0870

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.0132.86ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince May 1, 2019 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince May 1, 2019 Accepting new patients
Community Health Partnership of Illinois CurrentSince Feb 1, 2016 Accepting new patients
Community Health Partnership of Illinois CurrentSince Feb 1, 2016 Accepting new patients
Community Health Partnership of Illinois Current Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

157 S Lincoln Ave
Ste D
Aurora, IL 60505
Phone (630) 859-0015

820 S State Route 59
Bartlett, IL 60103
Phone (630) 213-9600

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022

205 W Randolph St
Ste 2222
Chicago, IL 60606
Phone (312) 795-0000

1333 W Belmont Ave
Ste 100
Chicago, IL 60657
Phone (312) 693-2273

4732 N Lincoln Ave
Chicago, IL 60625
Phone (312) 926-0536

4445 W Irving Park Rd
Ste 110
Chicago, IL 60641
Phone (312) 921-0417

360 Station Dr
Ste 150
Crystal Lake, IL 60014

360 Station Dr
Crystal Lake, IL 60014
Phone (815) 477-7350

360 Station Dr
Ste 300A
Crystal Lake, IL 60014
Phone (815) 788-7500

62 N Ayer St
Harvard, IL 60033
Phone (815) 943-4339

10350 Haligus Rd
Huntley, IL 60142
Phone (847) 802-7150

10350 Haligus Rd
Ste A
Huntley, IL 60142
Phone (815) 455-6100

11650 S State Route 47
Huntley, IL 60142
Phone (847) 802-7300

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

2507 N Richmond Rd
Ste B
McHenry, IL 60051
Phone (815) 206-7500

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

1001 Commerce Dr
Ste 105
Oak Brook, IL 60523

1850 Gateway Dr
Ste 100
Sycamore, IL 60178
Phone (815) 217-3252

Interoperability endpoints

  • Direct secure messaging: juliana.gonzaleshannon.p2@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: juliana.gonzaleshannon.p1@direct.alegiscare.nextgenshare.com

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 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": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1285099622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 STATION DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147978",
            "telephone_number": "815-338-6600",
            "fax_number": "815-455-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 STATION DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "60014",
            "telephone_number": "815-338-6600",
            "fax_number": "815-455-8044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1925 Huntley Rd",
            "address_purpose": "LOCATION",
            "city": "West Dundee",
            "state": "IL",
            "postal_code": "601189301",
            "country_code": "US",
            "telephone_number": "815-338-6600",
            "fax_number": "847-426-5162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2507 N Richmond Rd",
            "address_purpose": "LOCATION",
            "city": "McHenry",
            "state": "IL",
            "postal_code": "600515407",
            "country_code": "US",
            "telephone_number": "815-338-6600",
            "fax_number": "815-385-3255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10350 Haligus Rd",
            "address_purpose": "LOCATION",
            "city": "Huntley",
            "state": "IL",
            "postal_code": "601429545",
            "country_code": "US",
            "telephone_number": "815-338-6600",
            "fax_number": "847-802-7112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES-HANNON",
        "first_name": "JULIANA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.0132.86",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209013286",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "209013286",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.