Active NPI
Glee Frances Gile, PA-C
- Physician Assistant
- Evans, CO
National Provider Identifier
1497793061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 814
- Practice address
- 2930 11TH Ave
Evans, CO 80620-1011 - Phone
- (970) 353-9403
- Fax
- (970) 353-9906
- NPI assigned
- Jun 3, 2006
- Last updated
- Oct 12, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0633 | SD | |
| Physician Assistant | 363A00000X | PA10004485 | WA | |
| Physician Assistant | 363A00000X | 814 | CO | Primary |
Addresses
Primary practice location
2930 11TH Ave
Evans, CO 80620-1011
Mailing address
2930 11TH Ave
Evans, CO 80620-1011
Phone (970) 353-9403
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199380 | Other | WA L & I | |
| 8906873 | Other | WA CRIME VICTIMS | |
| 8355539 | Medicaid | WA | |
| 33273286 | Medicaid | CO | |
| 814 | Other | CO | COLORADO LICENSE |
| 6059GL | Other | REGENCE BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0633 | SD | MD | Internal Medicine Physician |
| 814 | CO | MD | Physician Assistant |
| PA10004485 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Clinic PC | Past | Accepting new patients | |
| Big Thompson Medical Group Inc | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Loveland, CO
- NPI 1720011786
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286841600000",
"number": "1497793061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2930 11TH AVE",
"city": "EVANS",
"state": "CO",
"postal_code": "806201011",
"telephone_number": "970-353-9403",
"fax_number": "970-353-9906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2930 11TH AVE",
"city": "EVANS",
"state": "CO",
"postal_code": "806201011",
"telephone_number": "970-353-9403",
"fax_number": "970-353-9906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILE",
"first_name": "GLEE",
"middle_name": "FRANCES",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2010-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SD",
"license": "0633",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10004485",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "814",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA L & I",
"identifier": "199380",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA CRIME VICTIMS",
"identifier": "8906873",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8355539",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33273286",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO LICENSE",
"identifier": "814",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BS",
"identifier": "6059GL",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evans, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.