Individual provider Active NPI

Gerald James Gilliland, ANP

  • Adult Health Nurse Practitioner
  • Menomonie, WI
National Provider Identifier
1700844529
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
238333 Issued in WI
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

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061024000080 WI Practitioner - Nurse Practitioner 8729085402 Reassigns benefits to 8 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102440-030WIMDAdult Health Nurse Practitioner
238333WIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc Current Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Sep 12, 2018 Accepting new patients
Oak Medical SC CurrentSince Aug 1, 2023 Accepting new patients
HDC Care Solutions, LLC Nurse Practitioner CurrentSince Jan 2, 2023 Accepting new patients
Marshfield Clinic Inc CurrentSince Apr 30, 2018 Accepting new patients
Hansa Medical Groupe PLLC CurrentSince Jan 6, 2023 Accepting new patients
Tapestry Telehealth PLLC Nurse Practitioner CurrentSince Jan 25, 2021 Accepting new patients
MCHS Hospitals Inc CurrentSince Apr 30, 2018 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jun 1, 2021 Accepting new patients
MCHS Hospitals Inc CurrentSince Apr 30, 2018 Accepting new patients
Vitae Health Medical Wisconsin LLC CurrentSince Aug 1, 2020 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.

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

Verify at the official NPI Registry.