Jessica Gilgour, FNP
Individual provider Active NPI Family Nurse Practitioner · Cameron, MO
NPI 1669855839 · NPPES record last updated Jul 6, 2015
Key facts
- NPI
- 1669855839
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2015021518 (MO)
- Practice address
- 1600 E Evergreen St
Cameron, MO 64429-2400 - Phone
- (816) 632-2101
- NPI assigned
- Jul 6, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cameron Regional Medical Center Inc
Practice addresses (Care Compare)
1600 E Evergreen St
Cameron, MO 64429-2400
1608 E Evergreen St
Cameron, MO 64429-2400
221 E 7TH St
NW Mo OBGYN
Cameron, MO 64429-2400
Phone (816) 632-6100
921 N Walnut St
Walnut Med Clinic
Cameron, MO 64429-1341
Phone (816) 632-2111
Hospital & facility affiliations
- Cameron Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150811004564 | MO | Practitioner - Nurse Practitioner | 5799090379 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cameron Regional Medical Center Inc | Current | Accepting new patients | |
| Cameron Regional Medical Center, Inc. | Current |
Accepting new patients | |
| Cameron Regional Medical Center Inc | Current |
Accepting new patients | |
| Cameron Regional Medical Center Inc | Past | Accepting new patients |
Locations
1600 E Evergreen St
Ste C
Cameron, MO 64429
Phone (816) 632-2139
1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101
221 E 7th St
Cameron, MO 64429
Phone (816) 632-2111
103 N Davis St
Hamilton, MO 64644
Phone (816) 583-7839
198 Main St
Polo, MO 64671
Phone (660) 354-2550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2015021518 | MO | Yes |
Addresses
Primary practice location
1600 E Evergreen St
Cameron, MO 64429-2400
Mailing address
1600 E Evergreen St
Cameron, MO 64429-2400
Phone (816) 632-2101
Other providers in Cameron, MO
- Nancy Kay Gasparovic
- Stephen Gateley
- Richard Welch Gehrs
- Yogesh Gera
- Kortnie Bryanne Gibson
- Daut S Gjoni
- Dana Goble
- Kylie Graham
- Gutshall Clinic of Chiropractic P.C.
- Roger G Gutshall
All providers in Cameron, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.