Individual provider Active NPI

Jill Marie Geer, N.P.

  • Family Nurse Practitioner
  • Plymouth, IN
National Provider Identifier
1811374747
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71005434A Issued in IN
Practice address
510 W Adams St
Suite 150
Plymouth, IN 46563-1765
Phone
(574) 335-7900
Fax
(574) 335-0850
NPI assigned
Apr 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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 71005434A IN Primary

Addresses

Primary practice location

510 W Adams St
Suite 150
Plymouth, IN 46563-1765

Mailing address

6528 Stillwater Ave
Portage, IN 46368-7226
Phone (989) 763-1128

Other identifiers 3

IdentifierTypeStateIssuer
000000932414OtherINBCBS
000000932414OtherINBCBS SJHC
201286710MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20170531001271 MI Practitioner - Nurse Practitioner 0749500882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians
Transitional Care Services LLCGroup PAC ID 6709165954, 45 clinicians

Practice addresses (Care Compare)

2325 Rockwell Dr
Midland, MI 48642-9325
Phone (989) 898-9664

4568 W Walton Blvd
Suite D
Waterford, MI 48329-4900
Phone (855) 466-3631

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Transitional Care Services, LLC CurrentSince Jul 12, 2021 Accepting new patients

Locations

5758 Cooley Lake Rd
Waterford, MI 48327
Phone (855) 466-3631

4568 W Walton Blvd
Ste D
Waterford Township, MI 48329
Phone (855) 466-3631

Interoperability endpoints

  • Direct secure messaging: jill.geer.1@31855.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1811374747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6528 STILLWATER AVE",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463687226",
            "telephone_number": "989-763-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W ADAMS ST",
            "address_2": "SUITE 150",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631765",
            "telephone_number": "574-335-7900",
            "fax_number": "574-335-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEER",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005434A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000932414",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SJHC",
            "identifier": "000000932414",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201286710",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, IN

Sources for this page

Verify at the official NPI Registry.