NPIMap

Individual provider Active NPI

Julie M Doll, RN, FNP-C

  • Nurse Practitioner
  • Greenville, IL
National Provider Identifier
1356648331
Registry record updated Dec 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209008684 Issued in IL
Practice address
201 Health Care Dr
Greenville, IL 62246-1155
Phone
(618) 664-1380
NPI assigned
Feb 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2021

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 209008684 IL
Nurse Practitioner 363L00000X 209008684 IL Primary

Addresses

Primary practice location

201 Health Care Dr
Greenville, IL 62246-1155

Mailing address

201 Health Care Dr
Greenville, IL 62246-1155
Phone (618) 664-1380

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jdoll105842@ewd.direct.hshs.org Direct

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
I20120523000091 IL Practitioner - Nurse Practitioner 1658534060 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HSHS Holy Family Hospital Inc 25 clinicians

Practice addresses (Care Compare)

101 Health Care Dr
Greenville, IL 62246-1159
Phone (618) 664-1380

Hospital & facility affiliations

  • Bond County Health Department Home health agency, Greenville, IL, CCN 147023
  • HSHS Holy Family Hospital Inc Hospital, Greenville, IL, CCN 140137
  • St Joseph'S Hospital Hospital, Highland, IL, CCN 141336
  • St Josephs Hospital Hospital, Breese, IL, CCN 140145

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Holy Family Hospital Inc CurrentSince Mar 31, 2012 Accepting new patients
SJL Health Systems Inc CurrentSince Sep 15, 2022 Accepting new patients
HSHS Medical Group Inc Current Accepting new patients
HSHS Holy Family Hospital Inc CurrentSince Mar 31, 2012 Accepting new patients
HSHS Medical Group Inc CurrentSince Sep 15, 2022 Accepting new patients
HSHS Holy Family Hospital Inc Past Accepting new patients

Locations

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808

201 Health Care Dr
Greenville, IL 62246
Phone (618) 664-1380

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

3051 Hollis Dr
Fl 2
Springfield, IL 62704
Phone (217) 321-9321

Interoperability endpoints

  • Direct secure messaging: jdoll105842@ewd.direct.hshs.org

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
HSHS Holy Family Hospital IncGreenville, IL, CCN 140137 Hospital Corporate Director May 1, 2026
HSHS Holy Family Hospital IncGreenville, IL, CCN 14U137 Hospital Corporate Director May 1, 2026
HSHS Holy Family Health CenterGreenville, IL, CCN 148519 Rural health clinic Corporate Director May 1, 2026

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 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": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639785600000",
    "number": "1356648331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HEALTH CARE DR",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461155",
            "telephone_number": "618-664-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HEALTH CARE DR",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461155",
            "telephone_number": "618-664-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLL",
        "first_name": "JULIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-28",
        "last_updated": "2021-12-18",
        "certification_date": "2021-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209008684",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209008684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdoll105842@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "201 Health Care Dr",
            "city": "Greenville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622461155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, IL

Sources for this page

Verify at the official NPI Registry.