Individual provider Active NPI

Julie Gottemoller-Mueller, ACNP

  • Acute Care Nurse Practitioner
  • Naperville, IL
National Provider Identifier
1407043391
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
209003352 Issued in IL
Practice address
10 Martin Ave Ste 200
Naperville, IL 60540-6535
Phone
(630) 600-0700
Fax
(630) 600-0701
NPI assigned
Sep 25, 2007
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209-004398 IL
Acute Care Nurse Practitioner 363LA2100X 259671 AZ
Acute Care Nurse Practitioner 363LA2100X 209003352 IL Primary

Addresses

Primary practice location

10 Martin Ave Ste 200
Naperville, IL 60540-6535

Mailing address

10 Martin Ave Ste 200
Naperville, IL 60540-6535
Phone (630) 600-0700

Other practice location 1

10815 W McDowell Rd Ste 202
Avondale, AZ 85392-5010
Phone (623) 433-0202

Other identifiers 8

IdentifierTypeStateIssuer
CD8033OtherILRAILROAD MEDICARE PART B GROUP NUMBER
041199983MedicaidIL
NPI #1508810086OtherILHEART CARE CENTERS OF ILLINOIS, S.C. GROUP NPI #
236551OtherILMEDICARE GROUP NUMBER
236550OtherILMEDICARE GROUP NUMBER
P00477809OtherILRAILROAD MEDICARE PART B PTAN
01621208OtherILBLUE CROSS BLUE SHIELD GROUP PROVIDER NUMBER
416810OtherILMEDICARE GROUP NUMBER

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
I20080118000593 IL Practitioner - Nurse Practitioner 6305927062 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-004398ILMDNurse Practitioner
209003352ILMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Cardiovascular Institute SC CurrentSince Sep 23, 2024 Accepting new patients
Cardiovascular Institute Gpe Inc CurrentSince Aug 1, 2025 Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients

Locations

133 E Brush Hill Rd
Ste 202
Elmhurst, IL 60126
Phone (331) 231-6200

10 Martin Ave
Ste 200
Naperville, IL 60540
Phone (630) 369-1572

801 S Washington St
Fl 4
Naperville, IL 60540
Phone (630) 416-8500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1407043391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MARTIN AVE STE 200",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406535",
            "telephone_number": "630-600-0700",
            "fax_number": "630-600-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MARTIN AVE STE 200",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406535",
            "telephone_number": "630-600-0700",
            "fax_number": "630-600-0701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10815 W McDowell Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853925010",
            "country_code": "US",
            "telephone_number": "623-433-0202",
            "fax_number": "623-433-0204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOTTEMOLLER-MUELLER",
        "first_name": "JULIE",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-004398",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "259671",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209003352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PART B GROUP NUMBER",
            "identifier": "CD8033",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041199983",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEART CARE  CENTERS OF ILLINOIS, S.C. GROUP NPI #",
            "identifier": "NPI #1508810086",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "236551",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "236550",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PART B PTAN",
            "identifier": "P00477809",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GROUP PROVIDER NUMBER",
            "identifier": "01621208",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "416810",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.