Individual provider Active NPI

Stacie Suzanne Gill, DPM

  • Podiatrist
  • York, PA
National Provider Identifier
1487676235
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC005723 Issued in PA
Practice address
116 S George St
York, PA 17401-1474
Phone
(717) 801-4866
Fax
(833) 973-3583
NPI assigned
Jul 24, 2006
Last updated
Nov 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC005723 PA Primary

Addresses

Primary practice location

116 S George St
York, PA 17401-1474

Mailing address

116 S George St
York, PA 17401-1474
Phone (717) 801-4866

Other identifiers 1

IdentifierTypeStateIssuer
50043518OtherCAPITOL BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080307000222 PA Practitioner - Podiatry 4880779354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family First Health CorporationGroup PAC ID 8022910207, 23 clinicians

Practice addresses (Care Compare)

116 S George St
York, PA 17401-1474
Phone (717) 845-8617

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Health Corporation CurrentSince Nov 10, 2024 Accepting new patients
Family First Health Corporation CurrentSince Nov 10, 2024 Accepting new patients

Locations

116 S George St
York, PA 17401
Phone (717) 801-4846

Interoperability endpoints

  • Direct secure messaging: stacie.gill.dpm.1@7492.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1487676235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011474",
            "telephone_number": "717-801-4866",
            "fax_number": "833-973-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011474",
            "telephone_number": "717-801-4866",
            "fax_number": "833-973-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "STACIE",
        "middle_name": "SUZANNE",
        "name_prefix": "Miss",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC005723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITOL BLUE CROSS",
            "identifier": "50043518",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.