Individual provider Active NPI

Cynthia Ann Gill, NP-C

  • Gerontology Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1063154631
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
NP95019398 Issued in CA
Practice address
302 Silver Ave
San Francisco, CA 94112
Phone
(415) 334-2500
NPI assigned
Apr 12, 2022
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X NP95019398 CA Primary

Addresses

Primary practice location

302 Silver Ave
San Francisco, CA 94112

Mailing address

601 Van Ness Ave Ste E3619
San Francisco, CA 94102-3200
Phone (415) 531-9047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20220830003665 CA Practitioner - Nurse Practitioner 7517344104 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90
Promoting interoperability
100
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95019398CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Inpatient Medical Group Single Specialty CurrentSince Oct 14, 2024 Accepting new patients
Mission Hospice & Home Care Inc. Single Specialty CurrentSince Apr 6, 2022 Accepting new patients

Locations

3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824

601 Van Ness Ave
Ste E3619
San Francisco, CA 94102
Phone (415) 531-9047

66 Bovet Rd
Ste 100
San Mateo, CA 94402
Phone (650) 554-1000

324 Wilmington Ave
Kettering, OH 45420
Phone (937) 256-4490

Interoperability endpoints

  • Direct secure messaging: cgill695255@hisp.ehr.sutterhealth.org

Organizations & group practices 2

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": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1063154631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 VAN NESS AVE STE E3619",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023200",
            "telephone_number": "415-531-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 SILVER AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94112",
            "telephone_number": "415-334-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "NP95019398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.