Individual provider Active NPI

Daniel James Gillespie, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Palm Springs, CA
National Provider Identifier
1063805893
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
95026743 Issued in CA
Practice address
160 N Luring Dr Ste D
Palm Springs, CA 92262-6840
Phone
(408) 341-9606
Fax
(866) 811-0333
NPI assigned
Mar 18, 2015
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F307616-1 NY
Adult Health Nurse Practitioner 363LA2200X 95026743 CA Primary
Registered Nurse 163W00000X 686932-1 NY
Registered Nurse 163W00000X 95235674 CA

Addresses

Primary practice location

160 N Luring Dr Ste D
Palm Springs, CA 92262-6840

Mailing address

160 N Luring Dr Ste D
Palm Springs, CA 92262-6840
Phone (760) 209-6480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 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
I20180921000330 NY Practitioner - Nurse Practitioner 7214288869 Reassigns benefits to 1 organization
I20251007003037 CA Practitioner - Nurse Practitioner 7214288869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Columbia University College of Physicians and Surgeons, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

250 Quail Ridge Rd
Scotts Valley, CA 95066-4821

725 W Town and Country Rd
Orange, CA 92868-4703

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
686932-1NYMDRegistered Nurse
F307616-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness & Equity Foundation Inc. CurrentSince Aug 6, 2025 Accepting new patients
Sun River Health Inc Current Accepting new patients
Sun River Health Inc. CurrentSince Feb 9, 2019 Accepting new patients
Wea Ca PC CurrentSince Aug 6, 2025 Accepting new patients

Locations

969 E 12th St
Ste D
Los Angeles, CA 90021
Phone (408) 341-9606

160 N Luring Dr
Ste D
Palm Springs, CA 92262
Phone (408) 341-9606

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

803 Sterling Pl
Brooklyn, NY 11216
Phone (718) 613-1700

Interoperability endpoints

  • Direct secure messaging: daniel.gillespie.1@28348.direct.athenahealth.com

Organizations & group practices 4

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": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1063805893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N LURING DR STE D",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626840",
            "telephone_number": "760-209-6480",
            "fax_number": "866-811-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N LURING DR STE D",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626840",
            "telephone_number": "408-341-9606",
            "fax_number": "866-811-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-18",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F307616-1",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95026743",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "686932-1",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95235674",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.