Individual provider Active NPI

Jonise Yovee Aguillon

  • Psychiatric/Mental Health Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1821835869
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
906773 Issued in MS
Practice address
100 Washington Ave S Ste 1210
Minneapolis, MN 55401-2511
Phone
(866) 492-5336
NPI assigned
Jul 9, 2024
Last updated
Mar 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 906773 MS Primary

Addresses

Primary practice location

100 Washington Ave S Ste 1210
Minneapolis, MN 55401-2511

Mailing address

5850 Marian Dr
Horn Lake, MS 38637-2916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20250724002454 TN Practitioner - Nurse Practitioner 1153838289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of Tennessee-Western Mental Health InstituteGroup PAC ID 3072557941, 4 clinicians

Practice addresses (Care Compare)

11100 Hwy 64
Bolivar, TN 38008-1554
Phone (731) 228-0772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
906773MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Tennessee-Western Mental Health Institute CurrentSince Jun 9, 2025 Accepting new patients
Whispers of Wellness Psychiatry PLLC Psychiatric/Mental Health CurrentSince Mar 11, 2025 Accepting new patients

Locations

11100 Highway 64
Bolivar, TN 38008
Phone (731) 228-0772

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1821835869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 MARIAN DR",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "386372916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WASHINGTON AVE S STE 1210",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554012511",
            "telephone_number": "866-492-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILLON",
        "first_name": "JONISE",
        "middle_name": "YOVEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "906773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.