Individual provider Active NPI

Jessica Gills, APRN, FNP-C

  • Family Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1174929277
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07911 Issued in LA
Practice address
3020 Kingman St
Ste B
Metairie, LA 70006-6673
Phone
(504) 353-5502
NPI assigned
Nov 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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 AP07911 LA Primary

Addresses

Primary practice location

3020 Kingman St
Ste B
Metairie, LA 70006-6673

Mailing address

4200 Houma Blvd
Metairie, LA 70006-2970
Phone (504) 353-5502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20141215000181 LA Practitioner - Nurse Practitioner 7315269750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4200 Houma Blvd
Metairie, LA 70006-2970
Phone (504) 503-6565

4320 Houma Blvd
FL 6
Metairie, LA 70006-2961
Phone (504) 503-4109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP07911LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC CurrentSince Sep 30, 2019 Accepting new patients
East Jefferson Physicians Group Urgent Care CurrentSince Sep 30, 2019 Accepting new patients
Hector Montalvo MD Inc Past Accepting new patients
Metairie Physician Services Inc. Nurse Practitioner Past Accepting new patients

Locations

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

4300 Houma Blvd
Ste 204
Metairie, LA 70006
Phone (504) 503-6791

4224 Houma Blvd
Ste 520
Metairie, LA 70006
Phone (504) 885-4003

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1174929277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 HOUMA BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062970",
            "telephone_number": "504-353-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 KINGMAN ST",
            "address_2": "STE B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700066673",
            "telephone_number": "504-353-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLS",
        "first_name": "JESSICA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.