JILL BALLANTINE (AGACNP) – Gerontology Nurse Practitioner, NPI 1073979555

JILL BALLANTINE (AGACNP) is a healthcare provider. based in Dubuque, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP. They hold a License No. H098201 (IA). The NPI Number for JILL BALLANTINE (AGACNP) is 1073979555

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
JILL BALLANTINE (AGACNP)
NPI
1073979555
Phone
(563) 584-3226
Address
250 MERCY DR
Enumeration Date
13 January 2016
Last Update Date
13 January 2016

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
5635848000
Graduation Year
2015 (11 years ago)
PAC ID
1456655687
Group Practice PAC ID
3870491228
Professional Enrollment ID
I20160209002550
Address ID
IA520017320DU250XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,529 NURSE PRACTITIONER in IA

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Provider Addresses for JILL BALLANTINE (AGACNP)

  • MercyOne Dubuque Medical Center, 250, Mercy Drive, Dubuque, Dubuque County, Iowa, 52001, United States

    DUBUQUE, IA 520017320

    Phone: (563) 584-3226

    Fax: (563) 584-3227

    Type: Location

  • Medical Associates Clinic, 1500, Associates Drive, Dubuque, Dubuque County, Iowa, 52002, United States

    DUBUQUE, IA 520022201

    Phone: (563) 584-4100

    Fax: (563) 584-4110

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-02-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20160209002550INurse PractitionerIATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes261103$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5333$0
99239Hospital discharge day management, more than 30 minutes3834$0
99238Hospital discharge day management, 30 minutes or less1515$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 52001)

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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: 3870491228View full group profile
NameSpecialtyState
-IA
-IA
-IA
N E U R O L O G YIA
Hospitalist, Family PracticeIA
-IA
A N E S T H E S I O L O G YIA
R H E U M A T O L O G YIA
Thoracic Surgery, General SurgeryIA
Nurse PractitionerIA

Reviews

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Frequently asked questions

What is the 10-digit NPI for JILL BALLANTINE (AGACNP)?
JILL BALLANTINE (AGACNP) — NPI 1073979555 — is the standard way to identify this listing.
Does the file indicate JILL BALLANTINE (AGACNP) is practicing under active NPI?
Directory data currently reports JILL BALLANTINE (AGACNP) as active.
What taxonomy line describes JILL BALLANTINE (AGACNP)?
For research purposes, treat JILL BALLANTINE (AGACNP) as Gerontology Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does JILL BALLANTINE (AGACNP) list a practice location?
Patients near Dubuque, Iowa may find JILL BALLANTINE (AGACNP) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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