JILLIAN M VIANCOURT (FNP) – Family Nurse Practitioner, NPI 1639690886
Family Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for JILLIAN M VIANCOURT (FNP)
120 DRUMMOND RD
AVON LAKE, OH 440121613
Phone: (440) 315-9310
Type: Mailing
14121 SHAW AVENUE
CLEVELAND, OH 441122522
Phone: (216) 268-6640
Type: Location
2500 Metrohealth Dr
Cleveland, OH 441091900
Phone: (216) 778-7800
Type: Location
120 Drummond Rd
Avon Lake, OH 440121613
Phone: (440) 315-9310
Type: Location
MetroHealth Medical Center, 2500, Metrohealth Drive, Brooklyn Centre, Cleveland, Cuyahoga County, Ohio, 44109, United States
CLEVELAND, OH 441091900
Phone: (216) 778-7800
Type: Location
2500 METROHEALTH DR
CLEVELAND, OH 441091900
Phone: (440) 315-9310
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: 2017-07-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170727000194 | I | Nurse Practitioner | OH | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44012)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | OH | |
| Nurse Practitioner | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Nurse Practitioner | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Anesthesiology Assistant | CO | |
| - | OH | |
| Anesthesiology Assistant | OH | |
| - | OH | |
| - | OH |
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