Julie Renee Long, APRN, CNP
Individual provider Active NPI Nurse Practitioner · Genoa, IL
NPI 1932715570 · NPPES record last updated Aug 3, 2021
Key facts
- NPI
- 1932715570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 209021324 (IL)
- Practice address
- 599 Pearson Dr
Genoa, IL 60135-1383 - Phone
- (815) 784-6437
- Fax
- (815) 784-3933
- NPI assigned
- Sep 18, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northwestern Medical Faculty Foundation
Practice addresses (Care Compare)
1850 Gateway Dr
Sycamore, IL 60178-3192
515 Valley View Dr
Suite 201
Moline, IL 61265-6175
Phone (312) 695-0870
675 N Saint Clair St
Chicago, IL 60611-5975
675 N St Clair
Chicago, IL 60611-5975
Hospital & facility affiliations
- Northwestern Medicine Kishwaukee Hospital
- Northwestern Medicine Central Dupage Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.63 of 100
- Quality
- 88.47
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201014003053 | IL | Practitioner - Nurse Practitioner | 3375963275 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209021324 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current |
Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current |
Accepting new patients |
Locations (25 of 26)
2635 Church Rd
Ste 101
Aurora, IL 60502
Phone (630) 315-6900
820 S State Route 59
Bartlett, IL 60103
Phone (630) 213-9600
820 S State Route 59
Ste A
Bartlett, IL 60103
Phone (630) 483-5930
231 S Gary Ave
Ste 100
Bloomingdale, IL 60108
Phone (630) 893-9600
Carol Stream, IL 60122
Phone (630) 933-3300
Dept 5777
Carol Stream, IL 60122
4445 W Irving Park Rd
Ste 110
Chicago, IL 60641
Phone (312) 921-0417
1135 S Delano Ct E
Ste B201
Chicago, IL 60605
Phone (312) 694-2500
1333 W Belmont Ave
Ste 100
Chicago, IL 60657
Phone (312) 693-2273
171 N Aberdeen St
Ste 100
Chicago, IL 60607
Phone (312) 694-2273
360 Station Dr
Ste 300A
Crystal Lake, IL 60014
Phone (815) 788-7500
350 S Waukegan Rd
Ste 150
Deerfield, IL 60015
Phone (312) 926-3107
1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521
885 Roosevelt Rd
Ste 100
Glen Ellyn, IL 60137
Phone (630) 384-6200
2701 Patriot Blvd
Ste 110
Glenview, IL 60026
Phone (312) 694-2273
10350 Haligus Rd
Ste A
Huntley, IL 60142
Phone (815) 455-6100
525 Rockland Rd
Ste 100
Lake Bluff, IL 60044
Phone (847) 475-2273
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
2507 N Richmond Rd
Ste B
McHenry, IL 60051
Phone (815) 206-7500
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
636 Raymond Dr
Ste 107
Naperville, IL 60563
Phone (630) 359-8396
15300 West Ave
Ste 20
Orland Park, IL 60462
Phone (708) 460-5550
2900 Foxfield Rd
Ste 100
St Charles, IL 60174
Phone (630) 377-6500
1850 Gateway Dr
Ste 100
Sycamore, IL 60178
Phone (815) 217-3252
870 N Milwaukee Ave
Vernon Hills, IL 60061
Phone (847) 475-2273
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209021324 | IL | |
| Nurse Practitioner | 363L00000X | 209021324 | IL | Yes |
Addresses
Primary practice location
599 Pearson Dr
Genoa, IL 60135-1383
Mailing address
599 Pearson Dr
Genoa, IL 60135-1383
Phone (815) 784-6437
Other providers in Genoa, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.