Active NPI
Gerald James Gilliland, ANP
- Adult Health Nurse Practitioner
- Menomonie, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 238333
- Practice address
- 2919 Stout Rd
Menomonie, WI 54751-2313 - Phone
- (715) 309-4451
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP8055 | AZ | |
| Adult Health Nurse Practitioner | 363LA2200X | 102440-030 | WI | |
| Adult Health Nurse Practitioner | 363LA2200X | 238333 | WI | Primary |
Addresses
Primary practice location
2919 Stout Rd
Menomonie, WI 54751-2313
Mailing address
1308 Kenilworth Ave
Mount Pleasant, WI 53403-3642
Phone (608) 513-0383
Other practice location 1
2919 Stout Rd
Menomonie, WI 54751-2313
Phone (920) 496-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102440-030 | WI | MD | Adult Health Nurse Practitioner |
| 238333 | WI | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Oak Medical SC | Current | Accepting new patients | |
| HDC Care Solutions, LLC | Nurse Practitioner | Current | Accepting new patients |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Hansa Medical Groupe PLLC | Current | Accepting new patients | |
| Tapestry Telehealth PLLC | Nurse Practitioner | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Vitae Health Medical Wisconsin LLC | Current | Accepting new patients | |
| Prevea Clinic, Inc. | Past | Accepting new patients |
Locations
99 Hawley Ln
Ste 1102
Stratford, CT 06614
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
18740 W Bluemound Rd
Brookfield, WI 53045
Phone (262) 782-0230
200 S Executive Dr
Ste 101
Brookfield, WI 53005
Phone (262) 262-6707
1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850
900 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 717-4121
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
3100 Washington Rd
Kenosha, WI 53144
Phone (262) 658-4039
811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
Organizations & group practices 12
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.
-
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
-
- Internal Medicine Physician
- Waukesha, WI
- NPI 1669910345
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1508483140
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
Nurse Practitioner, WI
-
- Clinic/Center
- Marshfield, WI
- NPI 1427642255
-
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1558230847
-
- Geriatric Medicine (Internal Medicine) Physician
- Chillicothe, OH
- NPI 1992215446
Nurse Practitioner
-
- Internal Medicine Physician
- Green Bay, WI
- NPI 1306869276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650931200000",
"number": "1700844529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 KENILWORTH AVE",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534033642",
"telephone_number": "608-513-0383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2919 STOUT RD",
"city": "MENOMONIE",
"state": "WI",
"postal_code": "547512313",
"telephone_number": "715-309-4451"
}
],
"practiceLocations": [
{
"address_1": "2919 Stout Rd",
"address_purpose": "LOCATION",
"city": "Menomonie",
"state": "WI",
"postal_code": "547512313",
"country_code": "US",
"telephone_number": "920-496-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILLILAND",
"first_name": "GERALD",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "ANP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "AP8055",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WI",
"license": "102440-030",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WI",
"license": "238333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menomonie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.