Individual provider Active NPI

Michelle Lee Gilliland

  • Family Nurse Practitioner
  • Tollesboro, KY
National Provider Identifier
1780348284
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3018334 Issued in KY
Practice address
644 Lions Club Rd
Tollesboro, KY 41189-8704
Phone
(606) 202-1714
NPI assigned
Oct 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3018334 KY Primary
Registered Nurse 163W00000X 1124221 KY

Addresses

Primary practice location

644 Lions Club Rd
Tollesboro, KY 41189-8704

Mailing address

644 Lions Club Rd
Tollesboro, KY 41189-8704
Phone (606) 202-1714

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Management Group LLC 54 clinicians
Adams County Regional Medical Center 34 clinicians

Practice addresses (Care Compare)

230 Medical Ctr Dr
Seaman, OH 45679-8002
Phone (937) 386-3099

4881 State Route 125
Georgetown, OH 45121-9550
Phone (937) 378-3075

991 Medical Park Dr
Suite 301
Maysville, KY 41056-8728
Phone (606) 759-2180

Hospital & facility affiliations

  • Meadowview Regional Medical Center Hospital, Maysville, KY, CCN 180019
  • Adams County Regional Medical Center Hospital, Seaman, OH, CCN 361326
  • Van Wert County Hospital Hospital, Van Wert, OH, CCN 360071
  • Saint Joseph Mount Sterling Hospital, Mount Sterling, KY, CCN 180064

Merit-based Incentive Payment System (MIPS)

Final score
75.6 of 100Reported as group
Quality
75.56
Improvement activities
40
Cost
59.98

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221018000369 KY Practitioner - Nurse Practitioner 6103134606 Reassigns benefits to 3 organizations
I20240417000443 OH Practitioner - Nurse Practitioner 6103134606 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1124221KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Kentucky, PLLC CurrentSince Oct 1, 2022 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Oct 1, 2022 Accepting new patients
Adams County Regional Medical Center CurrentSince Oct 17, 2024 Accepting new patients
Pain Management Group LLC CurrentSince Jan 22, 2024 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Jul 12, 2023 Accepting new patients
Adams County Regional Medical Center CurrentSince Oct 17, 2024 Accepting new patients
Adams County Regional Medical Center Current Accepting new patients
Brock Medical, LLC CurrentSince Jul 12, 2023 Accepting new patients
Fast Pace Kentucky, PLLC PastSince Sep 4, 2022 Accepting new patients
Fast Pace Kentucky, PLLC Past Accepting new patients

Locations

1430 N Main St
Beaver Dam, KY 42320
Phone (270) 775-4483

401 Main St
Benton, KY 42025
Phone (270) 906-0369

796 W Broadway St
Campbellsville, KY 42718
Phone (270) 572-4933

110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059

301 Versailles Rd
Frankfort, KY 40601
Phone (502) 352-2310

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000

757 W Main St
Lebanon, KY 40033
Phone (270) 972-4186

333 S Main St
Leitchfield, KY 42754
Phone (270) 200-4983

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

919 N Main St
Madisonville, KY 42431
Phone (270) 228-0592

1251 Paris Rd
Mayfield, KY 42066
Phone (270) 356-1345

420 Martin Luther King Hwy
Maysville, KY 41056
Phone (606) 375-4817

989 Medical Park Dr
Ste 201
Maysville, KY 41056
Phone (502) 570-3727

991 Medical Park Dr
Ste 301
Maysville, KY 41056
Phone (606) 759-2180

895 N Main St
Monticello, KY 42633
Phone (606) 396-3006

145 Brookeway Dr
Mt Washington, KY 40047
Phone (502) 538-2430

901 N 12th St
Murray, KY 42071
Phone (270) 873-2022

1023 W Main St
Princeton, KY 42445
Phone (270) 254-5840

1151 W 9th St
Russellville, KY 42276
Phone (270) 847-4033

442 W High St
Bryan, OH 43506
Phone (260) 266-8210

4881 State Route 125
Georgetown, OH 45121
Phone (937) 378-2526

217 Hughes Blvd
Mount Orab, OH 45154
Phone (937) 346-8826

154 Elliott Ave
Peebles, OH 45660
Phone (937) 587-2618

230 Medical Center Dr
Seaman, OH 45679
Phone (937) 386-3400

Interoperability endpoints

  • Direct secure messaging: michelle.gilliland.1@18549.direct.athenahealth.com
  • Direct secure messaging: michelle.gilliland.1@29303.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1780348284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 LIONS CLUB RD",
            "city": "TOLLESBORO",
            "state": "KY",
            "postal_code": "411898704",
            "telephone_number": "606-202-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 LIONS CLUB RD",
            "city": "TOLLESBORO",
            "state": "KY",
            "postal_code": "411898704",
            "telephone_number": "606-202-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLILAND",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018334",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1124221",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tollesboro, KY

Sources for this page

Verify at the official NPI Registry.