Individual provider Active NPI

Gail Viviano

  • Family Nurse Practitioner
  • Alton, IL
National Provider Identifier
1659827418
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.01498 Issued in IL
Practice address
1 Memorial Dr
Alton, IL 62002-6722
Phone
(618) 463-7311
NPI assigned
Aug 31, 2016
Last updated
Feb 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.01498 IL
Family Nurse Practitioner 363LF0000X 209.01498 IL Primary
Registered Nurse 163W00000X 041.385493 IL
Registered Nurse 163W00000X 2012037887 MO

Addresses

Primary practice location

1 Memorial Dr
Alton, IL 62002-6722

Mailing address

3613 Buckland CT
Swansea, IL 62226-7499
Phone (618) 977-3263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161128002536 IL Practitioner - Nurse Practitioner 7517246002 Reassigns benefits to 5 organizations
I20220621000133 MO Practitioner - Nurse Practitioner 7517246002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tauc Il PCGroup PAC ID 3173060282, 17 clinicians
Total Access Urgent Care PCGroup PAC ID 8820171929, 130 clinicians

Practice addresses (Care Compare)

1103 Central Park Dr
O Fallon, IL 62269-1770
Phone (618) 215-5703

400 Beltline Rd
Collinsville, IL 62234-4405
Phone (618) 215-5703

9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 961-2255

Merit-based Incentive Payment System (MIPS)

Final score
42.87 of 100Reported as group
Quality
31.86
Promoting interoperability
0
Improvement activities
40
Cost
61.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041.385493ILMDRegistered Nurse
2012037887MOMDRegistered Nurse
209.01498ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Services of Memphis, P.C. Nurse Practitioner CurrentSince Dec 1, 2016 Accepting new patients
Emergency Services Midwest SC Nurse Practitioner CurrentSince Apr 1, 2018 Accepting new patients
Vituity - Illinois Auc LLP CurrentSince Feb 1, 2020 Accepting new patients
Cepamerica Illinois LLP CurrentSince Feb 1, 2020 Accepting new patients
Vituity - Illinois Auc LLP CurrentSince Feb 1, 2020 Accepting new patients
Tauc Il, PC CurrentSince Aug 29, 2024 Accepting new patients
Cepamerica Illinois LLP CurrentSince Feb 1, 2020 Accepting new patients
Cepamerica Illinois LLP Current Accepting new patients
Total Access Urgent Care, PC CurrentSince Jun 9, 2022 Accepting new patients
Total Access Urgent Care, PC CurrentSince Jun 9, 2022 Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care P.C. Past Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Tauc Il, PC PastSince May 1, 2021 Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients
Total Access Urgent Care, PC Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

400 Belt Line Rd
Collinsville, IL 62234
Phone (618) 215-5703

404 Belt Line Rd
Collinsville, IL 62234
Phone (618) 215-5703

801 W Temple Ave
Effingham, IL 62401
Phone (217) 342-5800

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

1103 Central Park Dr
O Fallon, IL 62269
Phone (618) 215-5703

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

12409 Saint Charles Rock Rd
Bridgeton, MO 63044
Phone (314) 455-4046

10923 Olive Blvd
Creve Coeur, MO 63141
Phone (314) 764-2953

1090 N Highway 67 St
Florissant, MO 63031

4201 Highway K
O Fallon, MO 63368

507 S Main St
O Fallon, MO 63366
Phone (636) 409-1092

12616 Lamplighter Square Shpg Ctr
Saint Louis, MO 63128

2060 Hampton Ave
Saint Louis, MO 63139
Phone (314) 696-2341

2980 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (636) 529-8411

3114 S Grand Blvd
Saint Louis, MO 63118

6900 Chippewa St
Saint Louis, MO 63109

9556 Manchester Rd
Saint Louis, MO 63119
Phone (314) 373-5740

1717 Madison Ave
Washington, MO 63090
Phone (636) 244-6950

1890 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 887-2667

13861 Manchester Rd
Wildwood, MO 63011
Phone (636) 220-9333

Interoperability endpoints

  • Direct secure messaging: gviviano@yourcarecommunity.org

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1659827418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 BUCKLAND CT",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622267499",
            "telephone_number": "618-977-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEMORIAL DR",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026722",
            "telephone_number": "618-463-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVIANO",
        "first_name": "GAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.01498",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.01498",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.385493",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2012037887",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

Verify at the official NPI Registry.