Individual provider Active NPI

Heather Gilmer, CFNP

  • Nurse Practitioner
  • Louisville, MS
National Provider Identifier
1477706323
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R863982 Issued in MS
Practice address
17540 E Main St
Louisville, MS 39339-2772
Phone
(662) 773-3503
Fax
(662) 773-6457
NPI assigned
Oct 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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 R863982 MS Primary

Addresses

Primary practice location

17540 E Main St
Louisville, MS 39339-2772

Mailing address

PO Box 470
Louisville, MS 39339-0470
Phone (662) 773-3503

Other identifiers 1

IdentifierTypeStateIssuer
09225800MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20090210000264 MS Practitioner - Nurse Practitioner 3678638509 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winston Medical Clinic LLCGroup PAC ID 7214170968, shared by 3 NPIs, 11 clinicians

Practice addresses (Care Compare)

PO Box
Suite 470
Louisville, MS 39339

Hospital & facility affiliations

  • Accentcare Home Health of Carthage Home health agency, Carthage, MS, CCN 257129
  • Winston Medical Center Hospital, Louisville, MS, CCN 250027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ard Medical Clinic PLLC Current Accepting new patients
Winston Medical Clinic LLC CurrentSince Jul 1, 2013 Accepting new patients
Winston County Medical Foundation CurrentSince Jul 1, 2013 Accepting new patients
Winston Medical Clinic LLC CurrentSince Jul 1, 2013 Accepting new patients
Winston Medical Clinic LLC CurrentSince Nov 1, 2013 Accepting new patients

Locations

17550 E Main St
Louisville, MS 39339
Phone (662) 446-1072

90 E Main St
Noxapater, MS 39346
Phone (662) 446-1972

Interoperability endpoints

  • Direct secure messaging: heather.gilmer.1@15070.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1477706323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393390470",
            "telephone_number": "662-773-3503",
            "fax_number": "662-773-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17540 E MAIN ST",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392772",
            "telephone_number": "662-773-3503",
            "fax_number": "662-773-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMER",
        "first_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R863982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09225800",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, MS

Sources for this page

Verify at the official NPI Registry.