Individual provider Active NPI

Jillian Simon, NP

  • Family Nurse Practitioner
  • Northfield, MN
National Provider Identifier
1730713157
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7267 Issued in MN
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

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200507000517 MN Practitioner - Nurse Practitioner 9335570340 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7267MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Endoura Effect, PLLC CurrentSince Jul 22, 2025 Accepting new patients
Optimized Medicine PLLC Current Accepting new patients
Integrated Wound Care Minnesota PLLC CurrentSince May 10, 2022 Accepting new patients
Northfield Hospital CurrentSince Jan 15, 2024 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.

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

Verify at the official NPI Registry.