Individual provider Active NPI

Jill Elaine Gaskill, M.D.

  • Family Medicine Physician
  • Anchorage, AK
National Provider Identifier
1174620181
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3468 Issued in AK
Practice address
2211 E Northern Lights Blvd
Anchorage, AK 99508-4192
Phone
(907) 279-8486
Fax
(907) 677-5614
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3468 AK Primary

Addresses

Primary practice location

2211 E Northern Lights Blvd
Anchorage, AK 99508-4192

Mailing address

2211 E Northern Lights Blvd
Anchorage, AK 99508-4192
Phone (907) 279-8486

Other identifiers 1

IdentifierTypeStateIssuer
MD6867MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080614000052 AK Practitioner - Family Practice 6608947957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Park Family Care IncGroup PAC ID 9638161268, 15 clinicians

Practice addresses (Care Compare)

2211 E Northern Lights Blvd
Anchorage, AK 99508-4129
Phone (907) 257-8176

Hospital & facility affiliations

  • Alaskan Home Health, Inc Home health agency, Anchorage, AK, CCN 027034
  • Providence at Home With Compassus HH Anchorage Home health agency, Anchorage, AK, CCN 027001
  • Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001
  • Alaska Regional Hospital Hospital, Anchorage, AK, CCN 020017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3468AKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Park Family Care, LLC Family Medicine CurrentSince Nov 2, 2009 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2211 E Northern Lights Blvd
Ste 100
Anchorage, AK 99508

2211 E Northern Lights Blvd
Anchorage, AK 99508
Phone (907) 257-8176

Interoperability endpoints

  • Direct secure messaging: jill.gaskill.1@19799.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1174620181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 E NORTHERN LIGHTS BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084192",
            "telephone_number": "907-279-8486",
            "fax_number": "907-677-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 E NORTHERN LIGHTS BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084192",
            "telephone_number": "907-279-8486",
            "fax_number": "907-677-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASKILL",
        "first_name": "JILL",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "3468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD6867",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.