Individual ProviderJillian ShirillaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2801 W Kk River Pkwy Ste 330, Milwaukee, WI 53215-3669(414) 649-1280(800) 326-2250PECOS EnrollmentBased on the most recent information from CMS, provider Jillian Shirilla is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1720453566Provider TypeIndividualFull NameShirilla, JillianCredentialRNGenderFemaleSole ProprietorNoEnumeration Date12/4/2015Last Updated5/30/2024Contact InformationPractice LocationPractice Address2801 W Kk River Pkwy Ste 330, Milwaukee, WI 53215-3669Phone(414) 649-1280FaxUnlisted FaxMailing LocationMailing AddressPO Box 735044, Chicago, IL 60673-5044Phone(800) 326-2250FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense14534WisconsinCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense199731WisconsinProvider IdentifiersIDDescriptionIssuerID100268854DescriptionMedicaidIssuerUnlistedWisconsin