Individual provider Active NPI

Nicole Kristine Gilles, FNP

  • Family Nurse Practitioner
  • Durand, WI
National Provider Identifier
1306516265
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14218 Issued in CT
Practice address
309 3Rd Ave W
Durand, WI 54736-1165
Phone
(715) 368-2340
NPI assigned
Sep 14, 2021
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260123000210 CT Practitioner - Nurse Practitioner 4284111097 Reassigns benefits to 3 organizations
I20260603004048 TX Practitioner - Nurse Practitioner 4284111097 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
11332-33WIMDNurse Practitioner
14218CTMDFamily Nurse Practitioner
11145MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Nurse Practitioner CurrentSince Jan 5, 2026 Accepting new patients
Onmed Professional Services PA CurrentSince Apr 25, 2026 Accepting new patients
Neighborhood Health, Inc. Nurse Practitioner CurrentSince Jan 5, 2026 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jan 5, 2026 Accepting new patients
Provisions Health Services CurrentSince Sep 1, 2021 Accepting new patients
Provisions Health CurrentSince Dec 13, 2022 Accepting new patients
The William W Backus Hospital Nurse Practitioner CurrentSince Jan 5, 2026 Accepting new patients
William W Backus Hospital CurrentSince Jan 5, 2026 Accepting new patients
Group Health, Inc. PastSince Jan 1, 2024 Accepting new patients
Virtuwell Medical Services, P.C. PastSince Jan 1, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.