Individual provider Active NPI

Eric Gillies, NP

  • Family Nurse Practitioner
  • Casper, WY
National Provider Identifier
1417620618
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
50974 Issued in WY
Practice address
1441 Wilkins Cir
Casper, WY 82601-1337
Phone
(307) 233-2700
Fax
(307) 472-2883
NPI assigned
Jul 26, 2021
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 50974 WY Primary
Student in an Organized Health Care Education/Training Program 390200000X WY
Ambulatory Care Registered Nurse 163WP2201X 40289 WY

Addresses

Primary practice location

1441 Wilkins Cir
Casper, WY 82601-1337

Mailing address

1441 Wilkins Cir
Casper, WY 82601-1337
Phone (307) 233-2700

Other practice location 1

1174 N 22nd St
Laramie, WY 82072-5401
Phone (307) 766-3313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20230227001814 WY Practitioner - Nurse Practitioner 3971976713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastroenterology Associates, LLCGroup PAC ID 8820902695, 14 clinicians

Practice addresses (Care Compare)

1441 Wilkins Cir
Casper, WY 82601-1337
Phone (307) 233-2700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
33.71 of 100Reported as group
Quality
39.66
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50974WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates, LLC CurrentSince Feb 18, 2023 Accepting new patients

Locations

1441 Wilkins Cir
Casper, WY 82601
Phone (307) 265-1792

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1417620618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 WILKINS CIR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011337",
            "telephone_number": "307-233-2700",
            "fax_number": "307-472-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 WILKINS CIR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011337",
            "telephone_number": "307-233-2700",
            "fax_number": "307-472-2883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1174 N 22nd St",
            "address_purpose": "LOCATION",
            "city": "Laramie",
            "state": "WY",
            "postal_code": "820725401",
            "country_code": "US",
            "telephone_number": "307-766-3313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLIES",
        "first_name": "ERIC",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-26",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "50974",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WY",
            "license": null,
            "primary": false
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "WY",
            "license": "40289",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.