JILL ANN IBRAHIM (APN) – Family Nurse Practitioner, NPI 1144734427

JILL ANN IBRAHIM (APN) is a healthcare provider. based in Lisle, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209016775 (IL). The NPI Number for JILL ANN IBRAHIM (APN) is 1144734427

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JILL ANN IBRAHIM (APN)
NPI
1144734427
Phone
(708) 805-2290
Address
4572 BASSWOOD DR
Enumeration Date
26 November 2017
Last Update Date
26 November 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4066536437
Graduation Year
2017 (9 years ago)
PAC ID
7719246800
Group Practice PAC ID
3678546660
Professional Enrollment ID
I20241021000444
Address ID
MT592011826WO301XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for JILL ANN IBRAHIM (APN)

  • 4572, Basswood Drive, Lisle, DuPage County, Illinois, 60532, United States

    LISLE, IL 605321374

    Phone: (708) 805-2290

    Type: Mailing

  • AMITA Health Adventist Medical Center, Hinsdale, 120, North Oak Street, Hinsdale, DuPage County, Illinois, 60521, United States

    HINSDALE, IL 605213829

    Phone: (630) 856-6782

    Fax: (630) 856-5703

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2023-06-14 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($35).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180118000280INurse PractitionerILTBD
I20241021000444INurse PractitionerMTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making122122$0
99284Emergency department visit with moderate level of medical decision making8079$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only5757$0
99291Critical care, first 30-74 minutes1616$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1212$0
View full utilization report →

Insurance plans in this area (ZIP 60532)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678546660View full group profile
NameSpecialtyState
Nurse PractitionerMT
-MT
Family PracticeCO
Nurse PractitionerTX
Nurse PractitionerWA
Certified Registered Nurse Anesthetist (Crna)MT
Certified Nurse Midwife (Cnm)WA
Nurse PractitionerCA
-MT
Nurse PractitionerMT

Reviews

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Frequently asked questions

What is JILL ANN IBRAHIM (APN)'s NPI number?
JILL ANN IBRAHIM (APN)'s NPI is 1144734427 — the number used across U.S. healthcare to identify this provider.
Is JILL ANN IBRAHIM (APN) still an active registrant?
JILL ANN IBRAHIM (APN) carries an active NPI according to the public dataset.
What expertise is attributed to JILL ANN IBRAHIM (APN)?
JILL ANN IBRAHIM (APN)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JILL ANN IBRAHIM (APN) associated with Lisle?
Public fields place JILL ANN IBRAHIM (APN) around Lisle, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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