Active NPI
Kimberley Elaine Gillians, APRN
- Family Nurse Practitioner
- Newburgh, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3012866
- 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, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IN
- 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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newburgh Urgent Care LLC | Current | Accepting new patients | |
| Gateway Urgent Care, LLC | Current | Accepting new patients | |
| Main Street Family Medicine, LLC | Family | Current | Accepting new patients |
| Newburgh Urgent Care LLC | Past | 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.
-
- Nurse Practitioner
- Owensboro, KY
- NPI 1124325865
-
- Family Nurse Practitioner
- Whitesville, KY
- NPI 1528097433
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.