Jill D Gillespie, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209016752 Issued in IL

Practice address

909 E Palatine Rd
Palatine, IL 60074-5551

Phone

(847) 776-1400

NPI assigned

May 19, 2020

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

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiac Vision LLCGroup PAC ID 6800192519, 12 clinicians

Cardiorenal Therapeutics of Illinois PLLCGroup PAC ID 5395159677, 32 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jill.gillespie.1@15486.direct.athenahealth.com

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.

• Cardiac Vision LLC

  • Cardiovascular Disease Physician
  • Chicago, IL
  • NPI 1275990707
  Medicare reassignment Care Compare group NPD
• Cardiorenal Therapeutics of Illinois PLLC

  • Nephrology Physician
  • Oakbrook Terrace, IL
  • NPI 1336752682
  Medicare reassignment Care Compare group NPD
• Iroquois Memorial Hospital and Resident Home

  • Critical Access Hospital
  • Watseka, IL
  • NPI 1629003470
  Medicare reassignment NPD

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1780207308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 PRAIRIE LILY LN",
            "city": "DAVIS JUNCTION",
            "state": "IL",
            "postal_code": "610209450",
            "telephone_number": "630-738-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E PALATINE RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600745551",
            "telephone_number": "847-776-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "JILL",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jill.gillespie.1@15486.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Iroquois Memorial Hospital and resident Home",
            "address_1": "200 Laird Ln",
            "city": "Watseka",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609707568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Linda R. Gibson, M.D.
• Mary Gibson
• Zoe Gibson, PHARMD
• Giffen Spinal Care, LTD
• Bruce W Giffen, D.C.
• Cheryl Gistenson, MT
• Jason James Giuliano, DMD
• Glaus Enterprises Inc
• GM Chiropractic Services, LTD.
• Isabella Godinez

• Family Nurse Practitioner in Palatine, IL
• Providers in Palatine, 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 Dec 7, 2020; 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.