Individual provider Active NPI

Kimberley Elaine Gillians, APRN

  • Family Nurse Practitioner
  • Newburgh, IN
National Provider Identifier
1366927667
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012866 Issued in KY
Practice address
8211 W State Route 66
Newburgh, IN 47630-2534
Phone
(812) 490-0463
Fax
(812) 379-8031
NPI assigned
Oct 2, 2018
Last updated
Feb 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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 3012866 KY Primary

Addresses

Primary practice location

8211 W State Route 66
Newburgh, IN 47630-2534

Mailing address

3245 Mount Moriah Ave
Owensboro, KY 42303-7834
Phone (270) 925-4248

Other practice location 1

607 W 6th St Ste B
Jasper, IN 47546-2628
Phone (812) 803-3775

Other practice location 2

3245 Mount Moriah Ave Ste 10
Owensboro, KY 42303-7834
Phone (270) 663-0955

Other practice location 3

2804 Frederica St Ste 1
Owensboro, KY 42301-5407
Phone (270) 240-3633

Other practice location 4

2101 N Green River Rd Ste 1
Evansville, IN 47715-2942
Phone (812) 901-5770

Other practice location 5

710 S Green River Rd Ste 1
Evansville, IN 47715-4104
Phone (812) 901-5780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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
I20190114001974 KY Practitioner - Nurse Practitioner 9739425695 Reassigns benefits to 3 organizations
I20210301002570 IN Practitioner - Nurse Practitioner 9739425695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newburgh Urgent Care LLCGroup PAC ID 6800029315, 18 clinicians

Practice addresses (Care Compare)

8211 W State Route 66 a
Newburgh, IN 47630-2534
Phone (812) 490-0463

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newburgh Urgent Care LLC CurrentSince Feb 25, 2021 Accepting new patients
Gateway Urgent Care, LLC CurrentSince Aug 5, 2020 Accepting new patients
Main Street Family Medicine, LLC Family CurrentSince Feb 1, 2019 Accepting new patients
Newburgh Urgent Care LLC PastSince Dec 8, 2024 Accepting new patients

Locations

710 S Green River Rd
Ste 1
Evansville, IN 47715
Phone (812) 901-5780

607 W 6th St
Ste B
Jasper, IN 47546
Phone (812) 803-3775

8211 W State Route 66
Newburgh, IN 47630
Phone (812) 858-1005

8211 W State Route 66
#A
Newburgh, IN 47630
Phone (270) 570-7500

2804 Frederica St
Ste 1
Owensboro, KY 42301
Phone (270) 240-3633

3245 Mount Moriah Ave
Owensboro, KY 42303

3245 Mount Moriah Ave
Ste 10
Owensboro, KY 42303
Phone (270) 663-0955

10015 Main St
Whitesville, KY 42378
Phone (270) 233-1884

Organizations & group practices 5

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": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1366927667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 MOUNT MORIAH AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423037834",
            "telephone_number": "270-925-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 W STATE ROUTE 66",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476302534",
            "telephone_number": "812-490-0463",
            "fax_number": "812-379-8031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 W 6th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "IN",
            "postal_code": "475462628",
            "country_code": "US",
            "telephone_number": "812-803-3775",
            "fax_number": "812-645-3898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3245 Mount Moriah Ave Ste 10",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423037834",
            "country_code": "US",
            "telephone_number": "270-663-0955",
            "fax_number": "270-574-8558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2804 Frederica St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423015407",
            "country_code": "US",
            "telephone_number": "270-240-3633",
            "fax_number": "270-574-8749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 N Green River Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477152942",
            "country_code": "US",
            "telephone_number": "812-901-5770",
            "fax_number": "812-379-8910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 S Green River Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477154104",
            "country_code": "US",
            "telephone_number": "812-901-5780",
            "fax_number": "812-379-8983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLIANS",
        "first_name": "KIMBERLEY",
        "middle_name": "ELAINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.