Individual provider Active NPI

Kassie Marie Gill, DNP, APRN, FNP-C

  • Nurse Practitioner
  • Gretna, LA
National Provider Identifier
1417476813
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
09607 Issued in LA
Practice address
148 Wall Blvd
Gretna, LA 70056-7107
Phone
(504) 393-2273
NPI assigned
Sep 17, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 09607 LA Primary

Addresses

Primary practice location

148 Wall Blvd
Gretna, LA 70056-7107

Mailing address

241 Demandre St
Belle Chasse, LA 70037-2341
Phone (828) 778-4803

Other practice location 1

123 Creagan Ave
Gretna, LA 70053-7005
Phone (828) 778-4803

Other practice location 2

1850 N Highway 190
Clinic 8922
Covington, LA 70433-5157
Phone (985) 809-1515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20171117002886 LA Practitioner - Nurse Practitioner 7315203791 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.47 of 100Reported as group
Improvement activities
40
Cost
73.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09607LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Bernard Emergency Group, LLC Nurse Practitioner CurrentSince Aug 6, 2019 Accepting new patients
In and Out Urgent Care Covington, LLC CurrentSince Jul 20, 2023 Accepting new patients
Monroe Emergency Physicians LLC CurrentSince Apr 1, 2022 Accepting new patients
In and Out Urgent Care of Metairie, LLC CurrentSince Jul 20, 2023 Accepting new patients
Fast Aid Urgent Care- Belle Chasse Nurse Practitioner CurrentSince Sep 16, 2024 Accepting new patients
Coastal Urgent Care, LLC CurrentSince Mar 28, 2023 Accepting new patients
Thibodaux Emergency Physicians Group LLC CurrentSince Jul 1, 2021 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Aug 7, 2025 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Nov 1, 2022 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Nov 1, 2022 Accepting new patients
In and Out Urgent Care, LLC CurrentSince Jul 20, 2023 Accepting new patients
Hulin Urgent Care Services LLC Past Accepting new patients
Louisiana CVS Pharmacy LLC Past Accepting new patients

Locations (25 of 43)

6420 Groom Rd
Baker, LA 70714
Phone (225) 412-2781

2100 E Madison Ave
Bastrop, LA 71220
Phone (318) 239-4413

9808 Bluebonnet Blvd
Baton Rouge, LA 70810
Phone (225) 224-8121

8732 Highway 23
Ste A
Belle Chasse, LA 70037
Phone (210) 906-8478

8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078

8440 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 596-9520

13130 Highway 1085
Covington, LA 70433
Phone (985) 261-0261

716 W 21st Ave
Covington, LA 70433

1970 W Laurel Ave
Eunice, LA 70535
Phone (337) 465-2159

965 Sterlington Hwy
Farmerville, LA 71241
Phone (318) 608-4681

1124 S Burnside Ave
Ste 100A
Gonzales, LA 70737
Phone (225) 644-5503

203 Westgate Rd
Lafayette, LA 70506
Phone (337) 223-8401

3217 Johnston St
Lafayette, LA 70503
Phone (337) 364-1166

6770 Johnston St
#B
Lafayette, LA 70503
Phone (337) 326-5702

6770 Johnston St
Ste B
Lafayette, LA 70503
Phone (337) 326-5702

3829 Ryan St
Ste 300
Lake Charles, LA 70605
Phone (337) 399-0001

925 Highway 59
Ste 400
Mandeville, LA 70448
Phone (985) 200-3307

160 San Antonio Ave
Many, LA 71449
Phone (318) 353-3412

863 Tunica Dr E
Marksville, LA 71351
Phone (318) 717-1175

3013 Veterans Memorial Dr
Ste 101
Meaux, LA 70510
Phone (337) 385-5008

100 N Labarre Rd
Ste C
Metairie, LA 70001
Phone (504) 827-1717

3300 N Causeway Blvd
Metairie, LA 70002
Phone (504) 370-5005

1034 Homer Rd
Minden, LA 71055
Phone (318) 639-4664

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

4015 Sterlington Rd
Monroe, LA 71203
Phone (318) 543-0106

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417476813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 DEMANDRE ST",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700372341",
            "telephone_number": "828-778-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 WALL BLVD",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567107",
            "telephone_number": "504-393-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Creagan Ave",
            "address_purpose": "LOCATION",
            "city": "Gretna",
            "state": "LA",
            "postal_code": "700537005",
            "country_code": "US",
            "telephone_number": "828-778-4803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1850 N Highway 190",
            "address_2": "Clinic 8922",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704335157",
            "country_code": "US",
            "telephone_number": "985-809-1515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "KASSIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-17",
        "last_updated": "2022-07-21",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "09607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

Verify at the official NPI Registry.