Individual provider Active NPI

Gillian Mary Trotter

  • Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1639830540
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11017110 Issued in FL
Practice address
2290 W Eau Gallie Blvd
Melbourne, FL 32935-3133
Phone
(321) 254-4776
NPI assigned
Jan 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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 11017110 FL Primary

Addresses

Primary practice location

2290 W Eau Gallie Blvd
Melbourne, FL 32935-3133

Mailing address

2290 W Eau Gallie Blvd
Melbourne, FL 32935-3133
Phone (321) 254-4776

Other practice location 1

1130 Hickory St Ste B
Melbourne, FL 32901-1973
Phone (321) 434-7676

Other identifiers 2

IdentifierTypeStateIssuer
117385700MedicaidFL
RL378OtherFLHFMG MA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220309000351 FL Practitioner - Nurse Practitioner 2264826247 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

1130 Hickory St
Melbourne, FL 32901-1973
Phone (321) 725-4500

Hospital & facility affiliations

  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Palm Bay Hospital Hospital, Palm Bay, FL, CCN 100316

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11017110FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Care Centers of Brevard Inc CurrentSince Jan 3, 2022 Accepting new patients
Health First Medical Group, LLC CurrentSince Oct 9, 2023 Accepting new patients
Health First Medical Group, LLC CurrentSince Oct 9, 2023 Accepting new patients
Cancer Care Centers of Brevard Inc CurrentSince Jan 3, 2022 Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

2290 W Eau Gallie Blvd
Ste 202
Melbourne, FL 32935
Phone (321) 254-4776

1130 Hickory St
Melbourne, FL 32901
Phone (321) 409-1956

2290 W Eau Gallie Blvd
Melbourne, FL 32935
Phone (321) 254-4776

1130 Hickory St
Ste B
Melbourne, FL 32901
Phone (321) 752-0944

1430 Pine St
Melbourne, FL 32901
Phone (321) 952-0898

215 Cone Rd
Merritt Island, FL 32952
Phone (561) 589-1995

1264 Malabar Rd SE
Palm Bay, FL 32907
Phone (321) 434-8216

13050 US Highway 1
Sebastian, FL 32958
Phone (561) 589-1995

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: gtrotter24016@epicdirect.hf.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.

Hospital & facility affiliations 3

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": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1639830540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 W EAU GALLIE BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353133",
            "telephone_number": "321-254-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 W EAU GALLIE BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353133",
            "telephone_number": "321-254-4776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 Hickory St Ste B",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329011973",
            "country_code": "US",
            "telephone_number": "321-434-7676",
            "fax_number": "321-952-6179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROTTER",
        "first_name": "GILLIAN",
        "middle_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11017110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117385700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFMG MA",
            "identifier": "RL378",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.