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JILL ALEXANDRA SHEPHERD APN NPI 1073853354


NPI Information

NPI: 1073853354
Provider Name: JILL ALEXANDRA SHEPHERD, APN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2055 W ARMY TRAIL RD STE 104
ADDISON, IL
ZIP 60101
Phone: (630) 599-5400
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Jill Alexandra Shepherd, APN is a family nurse practitioner in Addison, IL. Jill Alexandra Shepherd, APN NPI is 1073853354. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2055 W ARMY TRAIL RD STE 104
ADDISON, IL
ZIP 60101-478
Phone: (630) 599-5400
Fax: (630) 705-1049

The NPI 1073853354 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 2/22/2013 and was last updated on 5/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily209010189ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.