Individual provider Active NPI

Jill Steinhoff Goeltz, PA-C

  • Physician Assistant
  • Westmont, IL
National Provider Identifier
1699114710
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.005177 Issued in IL
Practice address
801 N Cass Ave
Suite 150
Westmont, IL 60559-1162
Phone
(630) 268-0200
NPI assigned
Jun 21, 2013
Last updated
Apr 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.005177 IL Primary

Addresses

Primary practice location

801 N Cass Ave
Suite 150
Westmont, IL 60559-1162

Mailing address

801 N Cass Ave
Suite 150
Westmont, IL 60559-1162
Phone (630) 268-0200

Other identifiers 1

IdentifierTypeStateIssuer
2340981MedicaidIL

Other names 1

  • Jill Catherine Steinhoff Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20141231000676 IL Practitioner - Physician Assistant 2163666207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro East Dermatology and Skin Cancer Center LLCGroup PAC ID 9739451956, 7 clinicians

Practice addresses (Care Compare)

1000 Eleven S BLDG
3B
Columbia, IL 62236-1077
Phone (618) 622-7546

12860 Troxler Ave
Highland, IL 62249-2898
Phone (618) 622-7546

331 Regency Park
O Fallon, IL 62269-1887
Phone (618) 622-7546

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
81.6
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.005177ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Cancer Surgery Center LLC PastSince Jul 3, 2022 Accepting new patients

Organizations & group practices 2

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": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1699114710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N CASS AVE",
            "address_2": "SUITE 150",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591162",
            "telephone_number": "630-268-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N CASS AVE",
            "address_2": "SUITE 150",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591162",
            "telephone_number": "630-268-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOELTZ",
        "first_name": "JILL",
        "middle_name": "STEINHOFF",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.005177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2340981",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "STEINHOFF",
            "middle_name": "CATHERINE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westmont, IL

Sources for this page

Verify at the official NPI Registry.