Active NPI
Susan M Gill, PAC
- Physician Assistant
- Naples, FL
National Provider Identifier
1225280464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9104821
- Practice address
- 2350 Vanderbilt Beach Rd Ste 201
Naples, FL 34109-2760 - Phone
- (239) 592-5864
- Fax
- (239) 592-6214
- NPI assigned
- Oct 21, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9104821 | FL | Primary |
Addresses
Primary practice location
2350 Vanderbilt Beach Rd Ste 201
Naples, FL 34109-2760
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000470400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081112000633 | FL | Practitioner - Physician Assistant | 2769541200 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13691 Metro Pkwy
Suite 300
Fort Myers, FL 33912-4322
Phone (239) 291-6970
800 Goodlette Rd
Suite 310
Naples, FL 34102-5412
Phone (239) 963-1055
Hospital & facility affiliations
- Centerwell Home Health
- Naples Community Hospital
- Physicians Regional Medical Center - Pine Ridge
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.02 of 100
- Quality
- 75.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9104821 | FL | MD | Physician Assistant |
Practice roles (4 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epn Urgent Care LLC | Past | Accepting new patients | |
| Naples Cardiovascular Specialists | Past | Accepting new patients | |
| Emergency Physicians of Naples PLLC | Past | Accepting new patients | |
| Epn Family Care LLC | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- susan.gill.1@29246.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Naples, FL
- NPI 1861410656
-
- Family Medicine Physician
- Naples, FL
- NPI 1013101112
-
- Emergency Medicine Physician
- Naples, FL
- NPI 1275624579
-
- Cardiovascular Disease Physician
- Naples, FL
- NPI 1538228671
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Port Charlotte, FL
- NPI 1194776138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1225280464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "877-856-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 VANDERBILT BEACH RD STE 201",
"city": "NAPLES",
"state": "FL",
"postal_code": "341092760",
"telephone_number": "239-592-5864",
"fax_number": "239-592-6214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "SUSAN",
"middle_name": "M",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-21",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9104821",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000470400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.