Janelle Gilmore, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601006096 Issued in MI

Practice address

2265 S Linden Rd
Flint, MI 48532-5408

Phone

(810) 720-8700

NPI assigned

Aug 5, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Genesee Urgent Care, P.C.

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1760576946
  Medicare reassignment
• Ebi, LLC

  • Durable Medical Equipment & Medical Supplies
  • Parsippany, NJ
  • NPI 1366423220
  NPD (past)

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1124307368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325408",
            "telephone_number": "810-720-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325408",
            "telephone_number": "810-720-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "JANELLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Gill, R.N.
• Courtney Gillenwater
• Abigail Gilliam
• Tanya Gillum
• Bonnie L Gilman, CRNA
• John Gilmore
• Jillyn Marie Gilson, OTRL
• Patricia Giltrop, RDH
• Cecilia G. Gingell, CNP
• Pamela Giorgio, LLPC

• Physician Assistant in Flint, MI
• Providers in Flint, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.