Individual provider Active NPI

Sylvia Michelle Gillis, APRN, FNP-C

  • Family Nurse Practitioner
  • Basehor, KS
National Provider Identifier
1740876150
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-79668-111 Issued in KS
Practice address
15604 Pinehurst Dr Ste 2
Basehor, KS 66007-8234
Phone
(913) 728-2200
Fax
(913) 728-2230
NPI assigned
Dec 19, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shawnee Mission Medical Center Inc 14 clinicians

Practice addresses (Care Compare)

11245 Shawnee Mission Pkwy
Shawnee, KS 66203-3308
Phone (913) 268-4455

Hospital & facility affiliations

  • Providence Medical Center Hospital, Kansas City, KS, CCN 170146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20211228000717 KS Practitioner - Nurse Practitioner 9234520305 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-79668-111KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Apr 15, 2024 Accepting new patients
Shawnee Mission Medical Center, Inc. CurrentSince Dec 7, 2021 Accepting new patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Apr 15, 2024 Accepting new patients
Shawnee Mission Medical Center, Inc. CurrentSince Dec 7, 2021 Accepting new patients

Locations

15604 Pinehurst Dr
Ste 2
Basehor, KS 66007
Phone (913) 728-2200

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

757 W Eisenhower Rd
#R
Lansing, KS 66043
Phone (913) 297-2299

9099 W 135th St
Overland Park, KS 66221
Phone (913) 373-2230

Interoperability endpoints

  • Direct secure messaging: sylvia.gillis@115443077021700.direct.elationemr.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-79668-111 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

15604 Pinehurst Dr Ste 2
Basehor, KS 66007-8234

Mailing address

15604 Pinehurst Dr Ste 2
Basehor, KS 66007-8234
Phone (913) 728-2200

Other practice location 1

9099 W 135th St
Overland Park, KS 66221-2005
Phone (913) 549-4242

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 8, 2024.

{
    "created_epoch": "1608336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1740876150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15604 PINEHURST DR STE 2",
            "city": "BASEHOR",
            "state": "KS",
            "postal_code": "660078234",
            "telephone_number": "913-728-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15604 PINEHURST DR STE 2",
            "city": "BASEHOR",
            "state": "KS",
            "postal_code": "660078234",
            "telephone_number": "913-728-2200",
            "fax_number": "913-728-2230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9099 W 135th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662212005",
            "country_code": "US",
            "telephone_number": "913-549-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "SYLVIA",
        "middle_name": "MICHELLE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-19",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-79668-111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basehor, KS

Sources for this page

Verify at the official NPI Registry.