Jillian G Montefusco, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

041747000 Issued in IL

Practice address

1256 Waterford Dr Ste 120
Aurora, IL 60504-4518

Phone

(630) 499-6688

Fax

(630) 499-6689

NPI assigned

Feb 7, 2022

Last updated

Mar 9, 2022By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Infusion Express of Illinois, LLC

  • Infusion Therapy Clinic/Center
  • Glenview, IL
  • NPI 1073987582
  Medicare reassignment NPD
• Mymenopauserx Medical Group

  • Gynecology Physician
  • Wheaton, IL
  • NPI 1356016224
  NPD

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1720732936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 WATERFORD DR STE 120",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044518",
            "telephone_number": "630-499-6688",
            "fax_number": "630-499-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 WATERFORD DR STE 120",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044518",
            "telephone_number": "630-499-6688",
            "fax_number": "630-499-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEFUSCO",
        "first_name": "JILLIAN",
        "middle_name": "G",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "041747000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Kay Monahan, MHP
• Melinda Marie Moncrief, NP-C
• Kareena Mondesir
• Zoe Monks
• Keith M Monson, M.D.
• Frances Montejano
• Stephanie Montenegro, BSW
• Cathy Ann Montgomery, RN
• Nkeh Enobi Montgomery
• Carlos Montiel Avila

• Family Nurse Practitioner in Aurora, IL
• Providers in Aurora, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.

Verify at the official NPI Registry.