Jeliena N Krill, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9109787 Issued in FL

Practice address

9617 Gulf Research LN
Fort Myers, FL 33912-4560

Phone

(239) 418-0999

NPI assigned

Sep 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Jeliena Courville Other name

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Jonathan M Frantz, MD PAGroup PAC ID 9234039140, 25 clinicians

Jec Physician Services LLCGroup PAC ID 2769754258, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alpha Home Care Services LLC Home health agency, Fort Myers, FL, CCN 109269
• The Roads Home Health Southwest Florida Home health agency, Fort Myers, FL, CCN 683106
• Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Jec Physician Services, LLC

  • Sleep Medicine (Internal Medicine) Physician
  • Fort Myers, FL
  • NPI 1760911051
  Medicare reassignment Care Compare group
• Jonathan M Frantz, MD PA

  • Ophthalmology Physician
  • Fort Myers, FL
  • NPI 1033199609
  Medicare reassignment Care Compare group
• Surgical Specialists of Southwest Florida P.a.

  • Vascular Surgery Physician
  • Fort Myers, FL
  • NPI 1033103437
  Medicare reassignment
• Genesiscare USA of Florida LLC

  • Urology Physician
  • Venice, FL
  • NPI 1316127152
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• A Quality Home Health 4 U Inc

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1144514696
  Care Compare affiliation
• Alpha Home Care Services LLC

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1811165897
  Care Compare affiliation
• Lee Health System Inc

  • General Acute Care Hospital
  • Cape Coral, FL
  • NPI 1780429076
  Care Compare affiliation

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1689122053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9617 GULF RESEARCH LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124560",
            "telephone_number": "239-418-0999",
            "fax_number": "239-418-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9617 GULF RESEARCH LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124560",
            "telephone_number": "239-418-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRILL",
        "first_name": "JELIENA",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE MEDICARE/MEDICAID",
            "identifier": "1408849",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "OLW1W",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018868500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0375748",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "398579",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01748831",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4928066",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JELIENA",
            "last_name": "COURVILLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sandra Jo Kreulen, FNP
• Thomas H Kreulen, MD
• Susan H Krieger, M.D.
• Brittany Krier
• Gregory Krill, M.D.
• Denise Kring
• Rebecca Krinkie, MD
• Krishna Pharmacy LLC
• Sharon Lynn Krispinsky, RN, BSN, CDE
• Brian A Krivisky, MD

• Physician Assistant in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.