Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Julie K Miyamasu, APN-CNP

Individual provider Nurse Practitioner · NPI 1669410080

Julie K Miyamasu, APN-CNP is a Nurse Practitioner in Villa Park, Illinois. Qualified in 2003, 23 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
23
Licensed in
IL, WI
In the registry since
2006
Specialties on file
4

Practice location Address checks out

200 E Roosevelt Rd
Villa Park, IL 60181-3500
Phone: (800) 323-8622
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4101 1st Ave, Lyons, IL 60534-1028 — (800) 323-8622

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209-005257 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 277-000556 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 103439-875 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 277-000556 (IL)

Record details

NPI number1669410080
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN-CNP
Sole proprietorNo
NPI enumeratedJune 4, 2006
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Villa Park