Jill Alexandra Shepherd, APN - Medicare Nurse Practitioner in Addison, IL

Jill Alexandra Shepherd, APN is a medicare enrolled "Nurse Practitioner - Family" in Addison, Illinois. Her current practice location is 2055 W Army Trail Rd Ste 104, Addison, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 599-5400.

Jill Alexandra Shepherd is licensed to practice in Illinois (license number 209010189) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073853354.

Contact Information

Jill Alexandra Shepherd, APN
2055 W Army Trail Rd Ste 104,
Addison, IL 60101-1478
(630) 599-5400
(630) 705-1049



Provider's Profile

Full NameJill Alexandra Shepherd
GenderFemale
SpecialityNurse Practitioner - Family
Location2055 W Army Trail Rd Ste 104, Addison, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073853354
  • Provider Enumeration Date: 02/22/2013
  • Last Update Date: 05/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2365681228
  • Enrollment ID: I20130625000730

Medical Identifiers

Medical identifiers for Jill Alexandra Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073853354NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209010189 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jill Alexandra Shepherd allows following entities to bill medicare on her behalf.
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jill Alexandra Shepherd is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jill Alexandra Shepherd, APN
161 Washington Street, 14th Floor, Eight Tower Bridge, Suite 1400,
Conshohocken, PA 19428

Ph: (866) 825-3227
Jill Alexandra Shepherd, APN
2055 W Army Trail Rd Ste 104,
Addison, IL 60101-1478

Ph: (630) 599-5400

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Nurse Practitioner Nurses in Addison, IL

Danny Joseph Comchomnon, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 350 W North Ave, Addison, IL 60101
Phone: 708-769-9685    
Amy Lee, APRN-FPA
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 303 W Lake St, Addison, IL 60101
Phone: 331-221-0570    Fax: 331-221-2745
Sarah Melby, CPNP-PC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2055 W Army Trail Rd, Addison, IL 60101
Phone: 630-599-5400    
Ceres Kangou, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1111 W Lake St, Addison, IL 60101
Phone: 630-682-7400    
Michelle Coleman-north,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1221 N Swift Rd, Addison, IL 60101
Phone: 937-477-2743    
Karen Ann Kowalczyk, APN, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 303 W Lake St Ste 200, Addison, IL 60101
Phone: 331-221-9001    Fax: 331-221-3971

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