Jillian Marie Musick, FNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN153255 Issued in AZ

Practice address

1111 Riata Valley Rd Ste B
Kingman, AZ 86409-3678

Phone

(286) 925-5249

Fax

(928) 681-3977

NPI assigned

Jul 6, 2017

Last updated

Feb 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• River Valley Home Health Home health agency, Lake Havasu, AZ, CCN 037402
• Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: musicksmedical.jillianmusick@161725.advancedmd-direct.com
• Direct secure messaging: jillian.musick.1@22316.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/22316/brand/1/csg/1/fhir/r4

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.

• Musick's Medical PLLC

  • Family Nurse Practitioner
  • Kingman, AZ
  • NPI 1346854676
  Medicare reassignment NPD Authorized official
• Mohave Primary Care

  • Specialist
  • Kingman, AZ
  • NPI 1700909330
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kingman Healthcare, Inc

  dba Kingman Regional Medical Center

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917
  Care Compare affiliation
• Mohave Healthcare, Inc.

  dba River Valley Home Health

  • Home Health Agency
  • Lake Havasu City, AZ
  • NPI 1578947842
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1306367842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 RIATA VALLEY RD STE B",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093678",
            "telephone_number": "928-681-0101",
            "fax_number": "833-989-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 RIATA VALLEY RD STE B",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093678",
            "telephone_number": "286-925-5249",
            "fax_number": "928-681-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSICK",
        "first_name": "JILLIAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "RN153255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "460555",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "03D2193887",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mountainview Vision Center PC
• Elizabeth Mueller Ann Mueller
• Muhammad Fahad Mughal
• Scott David Mullane, OD
• Sarah J Musgrave, COTA/L
• Musick's Medical PLLC
• Sean Myers, DO
• Mystic Myrtles Stuff LLC (Mystic Myrtles Stuff LLC Massage)
• Naegele Medical Inc. (Naegele Medical)
• Kathleen L Nannini, M.S., R.D.

• Primary Care Nurse Practitioner in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Primary Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.

Verify at the official NPI Registry.