Jay Gillespie

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601010387 Issued in MI

Practice address

520 Cobb St
Cadillac, MI 49601-2588

Phone

(231) 775-6521

Fax

(231) 775-1366

NPI assigned

Feb 9, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Jay Gillespie Jr. Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pic Indiana PCGroup PAC ID 3476790239, 143 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Paul Oliver Memorial Hospital Hospital, Frankfort, MI, CCN 231300
• Munson Medical Center Hospital, Traverse City, MI, CCN 230097

Merit-based Incentive Payment System (MIPS)

Final score

92.41 of 100Reported as group

Quality

98.82

Improvement activities

40

Cost

71.86

Merit-based Incentive Payment System (MIPS)

Final score

30 of 100Reported as group

Quality

0

Promoting interoperability

100

Improvement activities

0

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jaygillespie@clhcmi.allscriptsdirect.net

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.

• Pic Indiana PC

  • Urgent Care Clinic/Center
  • Mishawaka, IN
  • NPI 1942546890

  MI

  Medicare reassignment Care Compare group
• Crystal Lake Clinic PC

  • Family Medicine Physician
  • Manistee, MI
  • NPI 1134491731
  Medicare reassignment NPD
• Crystal Lake Clinic P.C.

  • Family Medicine Physician
  • Suttons Bay, MI
  • NPI 1164945978
  NPD
• Crystal Lake Clinic P.C.

  • Family Medicine Physician
  • Interlochen, MI
  • NPI 1417902057
  NPD (past)
• Crystal Lake Clinic, P.C.

  • Family Medicine Physician
  • Bear Lake, MI
  • NPI 1902851777
  NPD (past)
• Hometown Urgent Care of Michigan, P.C.

  • Urgent Care Clinic/Center
  • Huber Heights, OH
  • NPI 1790030385
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Munson Medical Center

  • General Acute Care Hospital
  • Traverse City, MI
  • NPI 1952307852
  Care Compare affiliation
• Paul Oliver Memorial Hospital

  • Critical Access Hospital
  • Frankfort, MI
  • NPI 1427054360
  Care Compare affiliation

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1669064846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 COBB ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012588",
            "telephone_number": "231-775-6521",
            "fax_number": "231-876-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 COBB ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012588",
            "telephone_number": "231-775-6521",
            "fax_number": "231-775-1366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 E 7th St",
            "address_purpose": "LOCATION",
            "city": "Manton",
            "state": "MI",
            "postal_code": "496639429",
            "country_code": "US",
            "telephone_number": "231-824-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4025 Chums Village Dr",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496856992",
            "country_code": "US",
            "telephone_number": "231-642-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6227 Frankfort Hwy",
            "address_purpose": "LOCATION",
            "city": "Benzonia",
            "state": "MI",
            "postal_code": "496168632",
            "country_code": "US",
            "telephone_number": "231-882-9661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "JAY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-09",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010387",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MI",
            "license": "5601010387",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jay.gillespie.p1@direct.bfhc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "520 Cobb St",
            "city": "Cadillac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496012588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JAY",
            "last_name": "GILLESPIE",
            "prefix": "MR.",
            "suffix": "JR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gentner Wellness Clinic PC
• Daniel P Gentner, DC
• Dakota Gibson
• Nicole Gill, NP
• Allura Lyn Gillard
• Krystin Giroux, DPT
• Gregory Glasby Sr., CRNA
• Emily Golden
• Colette Gomez, LMSW
• Rebecca Gomez

• Physician Assistant in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.