Ilysa Bartol, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5216 Issued in TN

Practice address

300 Steam Plant Rd Ste 300
Gallatin, TN 37066-3089

Phone

(615) 328-3750

NPI assigned

Jun 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sumner Physician Practices LLCGroup PAC ID 8820283260, 59 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Highpoint Health-Sumner With Ascension Saint Thoma Hospital, Gallatin, TN, CCN 440003

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sumner Physician Practices LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Gallatin, TN
  • NPI 1720572209
  Medicare reassignment Care Compare group
• First Docs PC

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1417655465

  TN

  Medicare reassignment
• Sumner Physician Practices LLC

  • Sports Medicine (Family Medicine) Physician
  • Gallatin, TN
  • NPI 1205270568
  NPD
• Sumner Physician Practices, LLC

  • Interventional Cardiology Physician
  • Gallatin, TN
  • NPI 1417782194
  NPD
• Sumner Physician Practices LLC

  • Family Medicine Physician
  • Gallatin, TN
  • NPI 1922310093
  NPD (past)
• Trevecca Nazarene University

  • Local Education Agency (LEA)
  • Nashville, TN
  • NPI 1033407952
  NPD (past)

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

• Sumner Regional Medical Center LLC

  • General Acute Care Hospital
  • Gallatin, TN
  • NPI 1447571658
  Care Compare affiliation

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

{
    "created_epoch": "1624752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1447820097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STEAM PLANT RD STE 300",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STEAM PLANT RD STE 300",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663089",
            "telephone_number": "615-328-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOL",
        "first_name": "ILYSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-27",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherrill A Barkey, APRN
• Jadrian Paige Barnard, LCSW
• Madelyn Barnes
• Lucy Jayne Barrow, DPM
• Kelly S Barry, MD
• Amanda Barton, APRN
• Jacob Halum Basham, MD
• Tanzila Arzu Bashar, M.D.
• Eric Basta, DDS
• Donald Christopher Bates, O.D.

• Physician Assistant in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.

Verify at the official NPI Registry.