Active NPI
Julie Ann Dillenbeck-Juers, MS, APRN, FNP-BC
- Family Nurse Practitioner
- Gloversville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 338805
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037515200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VMD Primary Providers Central Florida PLLC | Current | Accepting new patients | |
| Family Practice Associates, PA | Current | Accepting new patients | |
| First Choice Health Centers, Inc. | Current | Accepting new patients | |
| First Choice Health Centers, Inc. | Current | Accepting new patients | |
| Shreeven LLC | Current | Accepting new patients | |
| VMD Primary Providers Central Florida PLLC | Past | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- East Hartford, CT
- NPI 1215923131
-
- Specialist
- Venice, FL
- NPI 1275818726
-
- Family Medicine Physician
- Saint Cloud, FL
- NPI 1134738974
-
- Family Medicine Physician
- Inverness, FL
- NPI 1316046170
-
- Federally Qualified Health Center (FQHC)
- East Hartford, CT
- NPI 1215518733
-
- Family Medicine Physician
- Clermont, FL
- NPI 1780342618
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.