Individual provider Active NPI

Nancy J Gilliam, APN BC

  • Nurse Practitioner
  • Phillipsburg, NJ
National Provider Identifier
1245278464
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00077700 Issued in NJ
Practice address
755 Memorial Pkwy Ste 106
Phillipsburg, NJ 08865
Phone
(908) 847-0514
Fax
(866) 747-3167
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00077700 NJ Primary
Family Nurse Practitioner 363LF0000X 26NJ00077700 NJ

Addresses

Primary practice location

755 Memorial Pkwy Ste 106
Phillipsburg, NJ 08865

Mailing address

755 Memorial Pkwy Ste 106
Phillipsburg, NJ 08865-2774
Phone (908) 847-0514

Other identifiers 3

IdentifierTypeStateIssuer
0058432MedicaidNJ
223733353OtherNJHORIZON
2318736OtherNJAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050329000231 NJ Practitioner - Nurse Practitioner 7113973538 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

185 Roseberry St
Phillipsburg, NJ 08865-1690
Phone (908) 847-3212

279 State Route 31 S
Washington, NJ 07882-4098
Phone (484) 503-7546

755 Memorial Pkwy
Phillipsburg, NJ 08865-2748

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Warren Physician Group, PC CurrentSince Jun 25, 2018 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Jun 25, 2018 Accepting new patients
Hunterdon Medical Center CurrentSince Aug 4, 2014 Accepting new patients
St. Luke'S Warren Physician Group, PC Current Accepting new patients
Hunterdon Medical Center CurrentSince Aug 4, 2014 Accepting new patients
Hunterdon Urgent Care PC CurrentSince Nov 18, 2017 Accepting new patients
Hunterdon Medical Center Past Accepting new patients

Locations

63 Church St
Flemington, NJ 08822
Phone (908) 237-4036

1100 Wescott Dr
Ste G4
Flemington, NJ 08822
Phone (908) 788-6471

3 Minneakoning Rd
Flemington, NJ 08822
Phone (908) 284-1125

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

843 Wilbur Ave
Phillipsburg, NJ 08865
Phone (908) 454-2627

755 Memorial Pkwy
Ste 106
Phillipsburg, NJ 08865
Phone (908) 454-5221

185 Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-6611

410 Coventry Dr
Phillipsburg, NJ 08865
Phone (908) 454-6303

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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 8

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1245278464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MEMORIAL PKWY STE 106",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652774",
            "telephone_number": "908-847-0514",
            "fax_number": "866-747-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MEMORIAL PKWY STE 106",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "08865",
            "telephone_number": "908-847-0514",
            "fax_number": "866-747-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "NANCY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "APN BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00077700",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00077700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0058432",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON",
            "identifier": "223733353",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2318736",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

Verify at the official NPI Registry.