JILL C OBRIEN ANP-BC NPI 1295908259

NPI Information

  • NPI: 1295908259
  • Provider Name: JILL C OBRIEN, ANP-BC
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 102 S HENNEPIN AVE
    DIXON, IL
    ZIP 61021
  • Phone: (815) 285-8520

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NPI Details

Jill C Obrien, ANP-BC is an adult health nurse practitioner in Dixon, IL with 23 years of experience. Jill C Obrien, ANP-BC NPI is 1295908259. 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:

102 S HENNEPIN AVE
DIXON, IL
ZIP 61021-013
Phone: (815) 285-8520
Fax: (815) 285-8903

The NPI 1295908259 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.

  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • Advance care planning, first 30 minutes (HCPCS:99497)

The enumeration date for this NPI number is 4/10/2008 and was last updated on 12/12/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner209-004480ILLINOISNo
2363LA2200XNurse PractitionerAdult Health209004480ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F400458270OTHERILLINOISMEDICARE PTAN

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: 3/30/2025

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