Individual provider Active NPI

Joy Pertile, P.A.

  • Nurse Practitioner
  • Morris, IL
National Provider Identifier
1457518474
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.006582 Issued in IL
Practice address
150 W High St
Morris, IL 60450-1463
Phone
(815) 942-2932
Fax
(815) 941-0486
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.006582 IL Primary

Addresses

Primary practice location

150 W High St
Morris, IL 60450-1463

Mailing address

2000 Spring Rd
Suite 200
Oak Brook, IL 60523-1804
Phone (630) 472-8800

Other practice location 1

27240 W Saxony Dr
Channahon, IL 60410-1416
Phone (815) 521-1500

Other practice location 2

100 Gore Rd
Morris, IL 60450-9466
Phone (815) 364-8919

Other practice location 3

105 Saravanos Rd
Yorkville, IL 60560-5813
Phone (630) 553-8200

Other identifiers 1

IdentifierTypeStateIssuer
209.006585OtherILSTATE 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
I20080703000266 IL Practitioner - Nurse Practitioner 6406928613 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morris HospitalGroup PAC ID 1850372459, 115 clinicians

Practice addresses (Care Compare)

150 W High St
Morris, IL 60450-1463
Phone (815) 942-2932

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.006582ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Hospital Current Accepting new patients
Morris Hospital CurrentSince Aug 1, 2016 Accepting new patients
Epic Group-Emergency Physicians an Illinois Concern S.C. CurrentSince May 23, 2006 Accepting new patients
Morris Hospital Current Accepting new patients
Burkeville Medical Group Past Accepting new patients
Loyola University Medical Center Past Accepting new patients

Locations

27240 W Saxony Dr
Channahon, IL 60410
Phone (815) 521-1500

100 Gore Rd
Morris, IL 60450
Phone (815) 364-8919

150 W High St
Morris, IL 60450
Phone (815) 942-2129

105 Saravanos Rd
Yorkville, IL 60560
Phone (630) 553-4600

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.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1457518474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SPRING RD",
            "address_2": "SUITE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231804",
            "telephone_number": "630-472-8800",
            "fax_number": "630-472-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W HIGH ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501463",
            "telephone_number": "815-942-2932",
            "fax_number": "815-941-0486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27240 W Saxony Dr",
            "address_purpose": "LOCATION",
            "city": "Channahon",
            "state": "IL",
            "postal_code": "604101416",
            "country_code": "US",
            "telephone_number": "815-521-1500",
            "fax_number": "815-467-9801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Gore Rd",
            "address_purpose": "LOCATION",
            "city": "Morris",
            "state": "IL",
            "postal_code": "604509466",
            "country_code": "US",
            "telephone_number": "815-364-8919",
            "fax_number": "815-942-4913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Saravanos Rd",
            "address_purpose": "LOCATION",
            "city": "Yorkville",
            "state": "IL",
            "postal_code": "605605813",
            "country_code": "US",
            "telephone_number": "630-553-8200",
            "fax_number": "630-553-7486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERTILE",
        "first_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.006582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "209.006585",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

Verify at the official NPI Registry.