Individual provider Active NPI

Chrystal Dianne Gilg

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1114592839
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1040336 Issued in TX
Practice address
3100 Schofield Rd BLDG 1179
San Antonio, TX 78234-7577
Phone
(210) 916-3000
NPI assigned
May 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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 1040336 TX Primary

Addresses

Primary practice location

3100 Schofield Rd BLDG 1179
San Antonio, TX 78234-7577

Mailing address

3100 Schofield Rd FL 2
Fort Sam Houston, TX 78234-7577
Phone (210) 916-3000

Other identifiers 2

IdentifierTypeStateIssuer
1040336OtherTXAPRN LICENSE
F02211060OtherAANP NATIONAL CERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20211013000042 TX Order and Referring Only - Nurse Practitioner 8729486329

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.85 of 100Reported as group
Quality
78.01
Improvement activities
40
Cost
79.8

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1114592839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SCHOFIELD RD FL 2",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782347577",
            "telephone_number": "210-916-3000",
            "fax_number": "210-539-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SCHOFIELD RD BLDG 1179",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782347577",
            "telephone_number": "210-916-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILG",
        "first_name": "CHRYSTAL",
        "middle_name": "DIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1040336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "1040336",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP NATIONAL CERTIFICATION",
            "identifier": "F02211060",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.