Individual provider Active NPI

Lauren Dardanes Gilman, NP

  • Nurse Practitioner
  • Evanston, IL
National Provider Identifier
1568005072
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209021736 Issued in IL
Practice address
2650 Ridge Ave
Evanston, IL 60201-1700
Phone
(847) 570-1700
Fax
(224) 251-4575
NPI assigned
Oct 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 23128 SC
Gerontology Nurse Practitioner 363LG0600X 71014083A IN
Nurse Practitioner 363L00000X 209021736 IL Primary

Addresses

Primary practice location

2650 Ridge Ave
Evanston, IL 60201-1700

Mailing address

2650 Ridge Ave
Evanston, IL 60201-1700
Phone (847) 570-1700

Other practice location 1

1552 N Limestone St Ste C
Gaffney, SC 29340-4750
Phone (864) 487-0155

Other practice location 2

2525 W University Ave Ste 403
Muncie, IN 47303-3409
Phone (765) 289-6381

Other practice location 3

300 W Butler Rd
Mauldin, SC 29662-2585
Phone (864) 277-8300

Other identifiers 2

IdentifierTypeStateIssuer
NP6377MedicaidSC
SCG5087628OtherSCMEDICARE PIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lgilman187413@direct-srhs.et0939.epichosted.com Direct
Direct Messaging Address lgilman@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20230711003860 IN Practitioner - Nurse Practitioner 0941634364 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71014083AINMDGerontology Nurse Practitioner
23128SCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Ball Memorial Physicians, Inc. Nurse Practitioner CurrentSince Jul 31, 2023 Accepting new patients
Iu Health Medical Group, LLC Nurse Practitioner CurrentSince Oct 1, 2025 Accepting new patients
Spartanburg Medical Center Past Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. Past Accepting new patients

Locations

3832 Solutions Ctr
Chicago, IL 60677

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

2525 W University Ave
Ste 403
Muncie, IN 47303
Phone (317) 289-6381

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

510 W Votaw St
Portland, IN 47371
Phone (260) 726-2890

500 W Votaw St
Portland, IN 47371
Phone (260) 726-6515

Interoperability endpoints

  • Direct secure messaging: lgilman@direct.iuhealth.org
  • Direct secure messaging: lgilman187413@direct-srhs.et0939.epichosted.com
  • Direct secure messaging: lgilman1@direct.iuhealth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1568005072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700",
            "telephone_number": "847-570-1700",
            "fax_number": "224-251-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700",
            "telephone_number": "847-570-1700",
            "fax_number": "224-251-4575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1552 N Limestone St Ste C",
            "address_purpose": "LOCATION",
            "city": "Gaffney",
            "state": "SC",
            "postal_code": "293404750",
            "country_code": "US",
            "telephone_number": "864-487-0155",
            "fax_number": "864-487-0924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 W University Ave Ste 403",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473033409",
            "country_code": "US",
            "telephone_number": "765-289-6381",
            "fax_number": "765-448-7646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 W Butler Rd",
            "address_purpose": "LOCATION",
            "city": "Mauldin",
            "state": "SC",
            "postal_code": "296622585",
            "country_code": "US",
            "telephone_number": "864-277-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILMAN",
        "first_name": "LAUREN",
        "middle_name": "DARDANES",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "23128",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "71014083A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209021736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP6377",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCG5087628",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgilman187413@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "lgilman187413@direct-srhs.et0939.epichosted.com",
            "address_1": "1552 N Limestone St Ste C",
            "city": "Gaffney",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293404750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgilman@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2525 W University Ave Ste 403",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473033409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.