Active NPI
Nicole Kristine Gilles, FNP
- Family Nurse Practitioner
- Durand, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 14218
- Practice address
- 309 3Rd Ave W
Durand, WI 54736-1165 - Phone
- (715) 368-2340
- NPI assigned
- Sep 14, 2021
- Last updated
- Jan 14, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11145 | MN | |
| Nurse Practitioner | 363L00000X | 11332-33 | WI | |
| Family Nurse Practitioner | 363LF0000X | 14218 | CT | Primary |
| Family Nurse Practitioner | 363LF0000X | 11145 | MN |
Addresses
Primary practice location
309 3Rd Ave W
Durand, WI 54736-1165
Mailing address
2522 Golf Rd Ste 2
Eau Claire, WI 54701-6033
Phone (715) 833-0660
Other practice location 1
331 Wethersfield Ave
Hartford, CT 06114-1420
Phone (727) 601-4513
Other practice location 2
326 Washington St
Norwich, CT 06360-2740
Phone (860) 889-8331
Other practice location 3
1094 Killingly Commons Dr
Dayville, CT 06241-2187
Phone (727) 601-4513
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1290 Silas Deane Hwy
Wethersfield, CT 06109
W5215 Pine St
Durand, WI 54736
W7407 Langdell Rd
Mondovi, WI 54755
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11332-33 | WI | MD | Nurse Practitioner |
| 14218 | CT | MD | Family Nurse Practitioner |
| 11145 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Onmed Professional Services PA | Current | Accepting new patients | |
| Neighborhood Health, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Provisions Health Services | Current | Accepting new patients | |
| Provisions Health | Current | Accepting new patients | |
| The William W Backus Hospital | Nurse Practitioner | Current | Accepting new patients |
| William W Backus Hospital | Current | Accepting new patients | |
| Group Health, Inc. | Past | Accepting new patients | |
| Virtuwell Medical Services, P.C. | Past | Accepting new patients |
Locations
2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366
1094 Killingly Commons Dr
Dayville, CT 06241
Phone (727) 601-4513
331 Wethersfield Ave
Hartford, CT 06114
Phone (860) 236-4511
326 Washington St
Norwich, CT 06360
Phone (860) 701-0140
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
512 N Jefferson Ave
Cameron, TX 76520
Phone (813) 543-4051
3205 W 2nd Ave
Corsicana, TX 75110
Phone (813) 543-4051
309 3rd Ave W
Durand, WI 54736
Phone (715) 368-2340
2522 Golf Rd
Ste 2
Eau Claire, WI 54701
Phone (715) 563-8393
Interoperability endpoints
- nikki.gilles.1@30885.direct.athenahealth.com
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
Nurse Practitioner
-
dba HHC Neighborhood Health
- General Practice Physician
- Torrington, CT
- NPI 1043544489
Nurse Practitioner
-
- General Practice Physician
- Cameron, TX
- NPI 1023746674
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1467517235
-
- Family Medicine Physician
- Eau Claire, WI
- NPI 1508875840
-
- Clinic/Center
- Eau Claire, WI
- NPI 1487229761
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1639135718
Nurse Practitioner
-
- Psychiatric Hospital Unit
- Norwich, CT
- NPI 1730243536
-
dba virtuwell
- Multi-Specialty Clinic/Center
- Saint Paul, MN
- NPI 1972919512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1306516265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2522 GOLF RD STE 2",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547016033",
"telephone_number": "715-833-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 3RD AVE W",
"city": "DURAND",
"state": "WI",
"postal_code": "547361165",
"telephone_number": "715-368-2340"
}
],
"practiceLocations": [
{
"address_1": "331 Wethersfield Ave",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061141420",
"country_code": "US",
"telephone_number": "727-601-4513",
"fax_number": "813-943-7440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "326 Washington St",
"address_purpose": "LOCATION",
"city": "Norwich",
"state": "CT",
"postal_code": "063602740",
"country_code": "US",
"telephone_number": "860-889-8331",
"fax_number": "860-823-1501",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1094 Killingly Commons Dr",
"address_purpose": "LOCATION",
"city": "Dayville",
"state": "CT",
"postal_code": "062412187",
"country_code": "US",
"telephone_number": "727-601-4513",
"fax_number": "813-940-7440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILLES",
"first_name": "NICOLE",
"middle_name": "KRISTINE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-14",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "11145",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "11332-33",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "14218",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "11145",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durand, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.