Individual provider Active NPI

Jill L Isaacs, ANP

  • Adult Health Nurse Practitioner
  • Monrovia, CA
National Provider Identifier
1558463166
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
95010598 Issued in CA
Practice address
700 S Myrtle Ave
Monrovia, CA 91016-8411
Phone
(626) 999-9999
NPI assigned
Sep 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP4368 AZ
Adult Health Nurse Practitioner 363LA2200X 95010598 CA Primary

Addresses

Primary practice location

700 S Myrtle Ave
Monrovia, CA 91016-8411

Mailing address

700 S Myrtle Ave Apt 229
Monrovia, CA 91016-8410

Other identifiers 1

IdentifierTypeStateIssuer
47077295213MedicaidNE

Other names 1

  • Jill L Schopperth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20061113000351 NE Practitioner - Nurse Practitioner 6002814720 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madonna Rehabilitation HospitalGroup PAC ID 0446164081, 92 clinicians

Practice addresses (Care Compare)

5401 S St
Lincoln, NE 68506-2150
Phone (402) 489-7102

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Methodist Hospital CurrentSince Jun 3, 2020 Accepting new patients
Methodist Fremont Health CurrentSince Jun 3, 2020 Accepting new patients
Madonna Rehabilitation Hospital CurrentSince Apr 1, 2020 Accepting new patients
Creighton University Past Accepting new patients
Creighton University Past Accepting new patients
Midwest Gastrointestinal Associates PC Past Accepting new patients

Locations

2400 N Lincoln Ave
Ste B
Fremont, NE 68025
Phone (402) 721-1699

450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610

5401 South St
Lincoln, NE 68506
Phone (402) 413-3000

207 S Engdahl Ave
Oakland, NE 68045
Phone (402) 685-5683

8303 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-4000

825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370

17500 Burke St
Omaha, NE 68118
Phone (402) 401-3000

8303 Dodge St
Ste LL6
Omaha, NE 68114
Phone (402) 354-4104

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": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1558463166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S MYRTLE AVE APT 229",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910168410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S MYRTLE AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910168411",
            "telephone_number": "626-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACS",
        "first_name": "JILL",
        "middle_name": "L",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP4368",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95010598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47077295213",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "SCHOPPERTH",
            "middle_name": "L",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monrovia, CA

Sources for this page

Verify at the official NPI Registry.