Individual provider Active NPI

Julie Ann Dillenbeck-Juers, MS, APRN, FNP-BC

  • Family Nurse Practitioner
  • Gloversville, NY
National Provider Identifier
1609271816
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
338805 Issued in NY
Practice address
99 E State St
Gloversville, NY 12078-1203
Phone
(518) 775-4300
Fax
(518) 775-4192
NPI assigned
Oct 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 338805 NY Primary

Addresses

Primary practice location

99 E State St
Gloversville, NY 12078-1203

Mailing address

99 E State St
Gloversville, NY 12078-1203
Phone (518) 775-4300

Other identifiers 1

IdentifierTypeStateIssuer
037515200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151012001300 FL Practitioner - Nurse Practitioner 3072821552 Reassigns benefits to 2 organizations
I20190425002433 CT Practitioner - Nurse Practitioner 3072821552 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Central Florida PLLC CurrentSince Jan 4, 2022 Accepting new patients
Family Practice Associates, PA CurrentSince Oct 17, 2022 Accepting new patients
First Choice Health Centers, Inc. CurrentSince Mar 16, 2019 Accepting new patients
First Choice Health Centers, Inc. CurrentSince Mar 16, 2019 Accepting new patients
Shreeven LLC CurrentSince Apr 15, 2024 Accepting new patients
VMD Primary Providers Central Florida PLLC PastSince May 8, 2022 Accepting new patients

Locations

809 Main St
East Hartford, CT 06108
Phone (203) 788-1479

94 Connecticut Blvd
Hartford, CT 06108
Phone (860) 610-6191

4404 S Highway 27
Clermont, FL 34711

521 SE Fort Island Trl
Ste E
Crystal River, FL 34429
Phone (352) 563-5858

326 S Line Ave
Inverness, FL 34452
Phone (352) 563-5858

1609 SW 17th St
Ocala, FL 34471
Phone (352) 401-9888

7535 SW 62nd Ct
#200W
Ocala, FL 34476
Phone (352) 401-9888

3533 E Silver Springs Blvd
Ocala, FL 34470

5601 N Hiawassee Rd
Orlando, FL 32818
Phone (321) 294-0611

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

1370 E Venice Ave
Ste 102
Venice, FL 34285

4650 Westway Park Blvd
Ste 206
Houston, TX 77041
Phone (346) 980-2725

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHAJAD

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": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1609271816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E STATE ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781203",
            "telephone_number": "518-775-4300",
            "fax_number": "518-775-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E STATE ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781203",
            "telephone_number": "518-775-4300",
            "fax_number": "518-775-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLENBECK-JUERS",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "MS, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-30",
        "last_updated": "2023-03-07",
        "certification_date": "2021-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037515200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloversville, NY

Sources for this page

Verify at the official NPI Registry.