Julianne Ross
Individual provider Active NPI Family Nurse Practitioner · Freeport, IL
NPI 1376219253 · NPPES record last updated Aug 19, 2021
Key facts
- NPI
- 1376219253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209023709 (IL)
- Practice address
- 1010 Fairway Dr
Freeport, IL 61032-6600 - Phone
- (815) 599-6000
- NPI assigned
- Aug 19, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cepamerica Illinois LLP
Saint Anthony Medical Center
Practice addresses (Care Compare)
77 N Airlite St
Elgin, IL 60123-4912
Phone (847) 695-3200
9951 Rock Cut Xing
Suite 200300
Loves Park, IL 61111-1999
Phone (815) 639-8500
Hospital & facility affiliations
- Saint Anthony Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.41 of 100
- Quality
- 86.81
- Improvement activities
- 40
- Cost
- 77.34
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211109002530 | IL | Practitioner - Nurse Practitioner | 8325437528 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209023709 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Anthony Medical Center | Current |
Accepting new patients | |
| Saint Anthony Medical Center | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current |
Accepting new patients | |
| Saint Anthony Medical Center | Current |
Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current |
Accepting new patients | |
| Saint Anthony Medical Center | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407
1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437
9951 Rock Cut Xing
Ste 102
Loves Park, IL 61111
Phone (815) 639-8500
9951 Rock Cut Xing
Ste 300
Loves Park, IL 61111
9951 Rock Cut Xing
Ste 200
Loves Park, IL 61111
124 SW Adams St
Fl 2
Peoria, IL 61602
Phone (309) 655-2850
5666 E State St
Rockford, IL 61108
Phone (815) 226-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209023709 | IL | Yes |
Addresses
Primary practice location
1010 Fairway Dr
Freeport, IL 61032-6600
Mailing address
1010 Fairway Dr
Freeport, IL 61032-6600
Other providers in Freeport, IL
- Roland a. Tolliver
- Rosecrance Inc
- Rosecrance Inc
- Rosecrance Inc
- Sherry A Roskam
- Timothy Rupnow
- Kwynsee Renea Russell
- Rovinder Singh Saini
- Carlos Sanchez
- Jenna Schardt
All providers in Freeport, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.