Individual provider Active NPI

Jill Burns, MSN

  • Women's Health Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1659576957
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
14582 Issued in OH
Practice address
1301 Jefferson Ave
Toledo, OH 43604-5838
Phone
(419) 255-1115
NPI assigned
Jun 18, 2007
Last updated
Mar 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 14582 OH Primary

Addresses

Primary practice location

1301 Jefferson Ave
Toledo, OH 43604-5838

Mailing address

1301 Jefferson Ave
Toledo, OH 43604-5838
Phone (419) 255-1115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20131111000247 OH Practitioner - Nurse Practitioner 6002907763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lucas County AuditorGroup PAC ID 4981685518, 3 clinicians

Practice addresses (Care Compare)

635 N Erie St
Toledo, OH 43604-5317
Phone (419) 213-4066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3243SCMDChiropractor
14582OHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lucas County Auditor CurrentSince Apr 4, 2022 Accepting new patients

Locations

635 N Erie St
Toledo, OH 43604
Phone (419) 213-4049

635 N Erie St
Ste 272
Toledo, OH 43604

Organizations & group practices 1

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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1659576957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 JEFFERSON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436045838",
            "telephone_number": "419-255-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 JEFFERSON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436045838",
            "telephone_number": "419-255-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "JILL",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "14582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.