Individual provider Active NPI

Jessica Jacqueline Gillis, CRNP

  • Family Nurse Practitioner
  • Ephrata, PA
National Provider Identifier
1053760637
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP016270 Issued in PA
Practice address
101 Larkspur Lane
Ephrata, PA 17522-8402
Phone
(717) 738-0660
Fax
(717) 738-0658
NPI assigned
Jun 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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 SP016270 PA Primary

Addresses

Primary practice location

101 Larkspur Lane
Ephrata, PA 17522-8402

Mailing address

101 Larkspur Lane
Ephrata, PA 17522-8402
Phone (717) 738-0660

Other names 1

  • Jessica Jacqueline Semrau Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160915001794 PA Practitioner - Nurse Practitioner 9032405170 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

562 W 2ND Ave
Penn Medicine LGHP Family Medicine Lititz
Lititz, PA 17543-1816
Phone (717) 626-2167

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP016270PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince May 1, 2018 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Hospital CurrentSince Sep 12, 2016 Accepting new patients
Lancaster General Hospital CurrentSince Jul 22, 2018 Accepting new patients
Lancaster General Medical Group CurrentSince May 1, 2018 Accepting new patients
Lancaster General Hospital CurrentSince Sep 12, 2016 Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

101 Larkspur Ln
Ephrata, PA 17522
Phone (717) 738-0660

1261 Division Hwy
#1
Ephrata, PA 17522
Phone (717) 738-0660

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

2118 Spring Valley Rd
Lancaster, PA 17601
Phone (215) 615-2222

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

562 W 2nd Ave
Lititz, PA 17543
Phone (717) 626-2167

620 Spear St
Oxford, PA 19363
Phone (610) 932-9300

1800 Lombard St
Ste 206
Philadelphia, PA 19146
Phone (215) 615-2222

Interoperability endpoints

  • Direct secure messaging: jgillis12597@direct-lghealth.org

Organizations & group practices 7

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1053760637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LARKSPUR LANE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175228402",
            "telephone_number": "717-738-0660",
            "fax_number": "717-738-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LARKSPUR LANE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175228402",
            "telephone_number": "717-738-0660",
            "fax_number": "717-738-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "JESSICA",
        "middle_name": "JACQUELINE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SEMRAU",
            "middle_name": "JACQUELINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ephrata, PA

Sources for this page

Verify at the official NPI Registry.