Individual provider Active NPI

Jennifer Lee Gillies, FNP

  • Family Nurse Practitioner
  • Lewiston, ME
National Provider Identifier
1316204480
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP121002 Issued in ME
Practice address
300 Main St
Lewiston, ME 04240-7027
Phone
(207) 795-0111
Fax
(207) 344-0350
NPI assigned
Apr 13, 2012
Last updated
May 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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 CNP121002 ME Primary

Addresses

Primary practice location

300 Main St
Lewiston, ME 04240-7027

Mailing address

300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20130123000574 ME Practitioner - Nurse Practitioner 9931352093 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10 High St
Suite 204
Lewiston, ME 04240-7657
Phone (207) 784-1699

593 Ctr St
Auburn, ME 04210-6323
Phone (207) 795-6543

Merit-based Incentive Payment System (MIPS)

Final score
80.77 of 100Reported as group
Quality
52.18
Promoting interoperability
99
Improvement activities
20
Cost
95.77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP121002MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Nov 1, 2015 Accepting new patients
Bridgton Hospital CurrentSince Nov 1, 2015 Accepting new patients
Central Maine Clinical Associates Corporation CurrentSince Nov 24, 2018 Accepting new patients
Mainehealth CurrentSince Jan 1, 2014 Accepting new patients
Bridgton Hospital CurrentSince Nov 1, 2015 Accepting new patients
Mainehealth CurrentSince Jan 1, 2014 Accepting new patients
Central Maine Medical Center CurrentSince Nov 1, 2015 Accepting new patients
Central Maine Clinical Associates CurrentSince Nov 24, 2018 Accepting new patients

Locations

1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

12 High St
Ste 102
Lewiston, ME 04240
Phone (207) 783-2300

29 Lowell St
Lewiston, ME 04240
Phone (207) 795-2154

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

364 Main St
Lewiston, ME 04240
Phone (207) 795-5646

25 June St
Sanford, ME 04073
Phone (207) 324-4310

25A June St
Ste 111
Sanford, ME 04073
Phone (207) 324-5968

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 8

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": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1316204480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407027",
            "telephone_number": "207-795-0111",
            "fax_number": "207-344-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407027",
            "telephone_number": "207-795-0111",
            "fax_number": "207-344-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIES",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-13",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP121002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.