Individual provider Active NPI

Gaylin Manion, FNP

  • Family Nurse Practitioner
  • Shiloh, IL
National Provider Identifier
1023497591
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209012822 Issued in IL
Practice address
1167 Fortune Blvd
Shiloh, IL 62269-7377
Phone
(618) 207-6900
Fax
(618) 207-6901
NPI assigned
May 29, 2015
Last updated
Feb 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209012822 IL Primary

Addresses

Primary practice location

1167 Fortune Blvd
Shiloh, IL 62269-7377

Mailing address

PO Box 419059
Saint Louis, MO 63141-9059
Phone (618) 207-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150731016691 IL Practitioner - Nurse Practitioner 7810201027 Reassigns benefits to 1 organization
I20251215000715 MO Practitioner - Nurse Practitioner 7810201027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
English and McLaughlin, PCGroup PAC ID 7618350448, 10 clinicians

Practice addresses (Care Compare)

1167 Fortune Blvd
Shiloh, IL 62269-7377
Phone (618) 207-6900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209012822ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Aco Clinical Services Inc CurrentSince Nov 17, 2025 Accepting new patients
English and McLaughlin, P.C. Family CurrentSince Aug 1, 2022 Accepting new patients
Chiromed LTD Past Accepting new patients

Locations

1167 Fortune Blvd
Shiloh, IL 62269
Phone (618) 207-6900

15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268

Interoperability endpoints

  • Direct secure messaging: gaylin.manion.p2@direct.essehealth.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1023497591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419059",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631419059",
            "telephone_number": "618-207-6900",
            "fax_number": "618-207-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1167 FORTUNE BLVD",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622697377",
            "telephone_number": "618-207-6900",
            "fax_number": "618-207-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANION",
        "first_name": "GAYLIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209012822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shiloh, IL

Sources for this page

Verify at the official NPI Registry.