Active NPI
Jillian Simon, NP
- Family Nurse Practitioner
- Northfield, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 7267
- Practice address
- 2000 North Ave
Northfield, MN 55057-1697 - Phone
- (507) 646-1101
- NPI assigned
- Feb 25, 2020
- 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 | 7267 | MN | Primary |
Addresses
Primary practice location
2000 North Ave
Northfield, MN 55057-1697
Mailing address
2000 North Ave
Northfield, MN 55057-1498
Phone (507) 646-6900
Other practice location 1
1099 Helmo Ave N Ste 230
Oakdale, MN 55128-6037
Phone (651) 243-0625
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Northfield |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7267 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endoura Effect, PLLC | Current | Accepting new patients | |
| Optimized Medicine PLLC | Current | Accepting new patients | |
| Integrated Wound Care Minnesota PLLC | Current | Accepting new patients | |
| Northfield Hospital | Current | Accepting new patients | |
| Northfield Hospital | Current | Accepting new patients |
Locations
7700 Grand Ave
Duluth, MN 55807
Phone (218) 628-2341
4645 Knutsen Dr
Farmington, MN 55024
Phone (651) 460-2300
9974 214th St W
Lakeville, MN 55044
Phone (952) 469-0500
2014 Jefferson Rd
Ste Cd
Northfield, MN 55057
Phone (507) 646-6700
2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000
1099 Helmo Ave N
Ste 230
Oakdale, MN 55128
Phone (651) 243-0625
492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468
Organizations & group practices 5
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.
-
- General Practice Physician
- Delano, MN
- NPI 1205390457
-
- Rural Acute Care Hospital
- Northfield, MN
- NPI 1417990805
-
- Medical Specialty Clinic/Center
- Oakdale, MN
- NPI 1649162413
-
- Multi-Specialty Clinic/Center
- Oakdale, MN
- NPI 1437997913
-
- Urgent Care Clinic/Center
- Northfield, MN
- NPI 1437668159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1730713157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 NORTH AVE",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550571498",
"telephone_number": "507-646-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 NORTH AVE",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550571697",
"telephone_number": "507-646-1101"
}
],
"practiceLocations": [
{
"address_1": "1099 Helmo Ave N Ste 230",
"address_purpose": "LOCATION",
"city": "Oakdale",
"state": "MN",
"postal_code": "551286037",
"country_code": "US",
"telephone_number": "651-243-0625",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMON",
"first_name": "JILLIAN",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-25",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "7267",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Northfield",
"affiliation": "N",
"address_1": "2000 North Ave",
"city": "Northfield",
"state": "MN",
"country_code": "US",
"postal_code": "550571697",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Northfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.