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NPI · 1073979555 · NPPES-sourced

Jill Ballantine Agacnp

ActiveGerontology Nurse Practitioner
NPI Number
1073979555
Type 1 · Individual
Taxonomy Code
363LG0600X
Contact
(563) 584-3226
License IA · H098201
Last Updated
Enumerated
Primary practice addressIA · 52001-7320
250 Mercy DrDubuque, IA 52001-7320
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Also known as

  • Formerly known asBoehmer, Jill

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1073979555 is registered to Jill Ballantine Agacnp, a Gerontology Nurse Practitioner practising at 250 Mercy Dr in Dubuque, Iowa. Gerontology Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Jill Ballantine Agacnp has been enumerated in the National Provider Identifier (NPI) registry since 2016.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jill Ballantine Agacnp accepts. To confirm in-network status with your specific health plan, contact Jill Ballantine Agacnp directly at (563) 584-3226.

Frequently asked

Yes. NPI 1073979555 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Gerontology Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (563) 584-3226.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jill Ballantine Agacnp is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363LG0600X
Last updated
Enumerated
StatusActive
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