Individual provider Active NPI

Jessica Anne McGillis, MSN-FNP-BC

  • Family Nurse Practitioner
  • Alma, MI
National Provider Identifier
1104688423
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704344673 Issued in MI
Practice address
146 S State St
Alma, MI 48801-2352
Phone
(989) 331-2855
NPI assigned
Jan 24, 2024
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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 4704344673 MI Primary

Addresses

Primary practice location

146 S State St
Alma, MI 48801-2352

Mailing address

146 S State St
Alma, MI 48801-2352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240626004076 MI Practitioner - Nurse Practitioner 3072057405 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinton County Medical Center PCGroup PAC ID 8224923818, 27 clinicians

Practice addresses (Care Compare)

10673 E Carson City Rd
Carson City, MI 48811-9560
Phone (989) 584-3976

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Central Michigan Current Accepting new patients
Clinton County Medical Center PC CurrentSince Mar 1, 2025 Accepting new patients
Outpatient Urgent Care Healthcenter CurrentSince Nov 1, 2025 Accepting new patients
McLaren Central Michigan CurrentSince Jun 9, 2024 Accepting new patients
McLaren Central Michigan CurrentSince Jun 9, 2024 Accepting new patients
Clinton County Medical Center PC CurrentSince Mar 1, 2025 Accepting new patients
Edward W Sparrow Hospital Association Past Accepting new patients

Locations

10673 E Carson City Rd
Carson City, MI 48811
Phone (989) 584-3153

4185 E Grand River Ave
Howell, MI 48843
Phone (517) 546-9200

728 W Wackerly St
Ste 100
Midland, MI 48640
Phone (989) 631-8300

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

1005 S US Highway 27
Ste 100
Saint Johns, MI 48879

1005 S US Highway 27
Ste 200
Saint Johns, MI 48879
Phone (989) 224-6897

Interoperability endpoints

  • Direct secure messaging: jessicamcgillis@ccmedc.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1104688423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 S STATE ST",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488012352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 S STATE ST",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488012352",
            "telephone_number": "989-331-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILLIS",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "credential": "MSN-FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704344673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, MI

Sources for this page

Verify at the official NPI Registry.