JILLIAN M VIANCOURT FNP
NPI 1639690886
Nurse Practitioner - Family in Cleveland, OH

Active since June 28, 2017PECOS EnrolledAccepts Medicare Assignment
14121 SHAW AVENUE, CLEVELAND, OH 44112(216) 268-6640 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2022, Dec 27, 2021, Feb 4, 2021 and 4 more (7 updates tracked since 2017).

About Jillian M Viancourt Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILLIAN M VIANCOURT FNP (NPI 1639690886) is an individual family provider in Cleveland, Ohio, licensed in Ohio (APRN.CNP.019920) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Southwest General Health Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639690886
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJILLIAN M VIANCOURTCredential: FNP
Location Address14121 SHAW AVENUECleveland, OH 44112-2522
Mailing Address120 Drummond RdAvon Lake, OH 44012-1613 · (440) 315-9310
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 28, 2017
Last NPPES UpdateDecember 1, 20227 updates tracked since enumeration
NPPES CertifiedNovember 29, 2022
NPI 1639690886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · APRN.CNP.019920
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License APRN.CNP.019920 (OH)
14121 SHAW AVENUE, Cleveland, OH 44112

Secondary Practice Locations 2

Location 1120 Drummond RdAvon Lake, OH 44012-1613 · Phone (440) 315-9310
Location 22500 Metrohealth DrCleveland, OH 44109-1900 · Phone (216) 778-7800

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jillian M Viancourt Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426328287
PECOS Enrollment IDI20170727000194
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360155
Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers13 claims51 services$6.55 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers14 claims24 services$1.10 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims372 services$2.60 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers50 claims1,516 services$4.22 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
2 suppliers33 claims11,359 services$0.30 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims8,376 services$0.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jillian Viancourt's NPI number?

The NPI number for Jillian Viancourt is 1639690886. It was assigned to this individual provider in the NPPES registry on June 28, 2017.

Where is Jillian Viancourt located?

Jillian Viancourt practices at 14121 Shaw Avenue, Cleveland, OH 44112. The listed phone number is (216) 268-6640.

What is Jillian Viancourt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jillian Viancourt enrolled in Medicare?

Yes. Jillian Viancourt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jillian Viancourt accept?

Health plans from CareSource and Molina Healthcare list Jillian Viancourt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jillian Viancourt affiliated with any hospitals?

According to CMS data, Jillian Viancourt is affiliated with Southwest General Health Center.

When was this NPI record last updated?

The NPPES record for Jillian Viancourt was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.