Active NPI
Michelle Lee Gilliland
- Family Nurse Practitioner
- Tollesboro, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3018334
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
-
- Rural Health Clinic/Center
- Peebles, OH
- NPI 1114640240
-
- Rural Health Clinic/Center
- Winchester, OH
- NPI 1467000471
-
- Medicare Defined Swing Bed Hospital Unit
- Seaman, OH
- NPI 1114575560
-
- Rural Health Clinic/Center
- West Union, OH
- NPI 1215574504
-
- Rural Health Clinic/Center
- Georgetown, OH
- NPI 1629628920
-
- Rural Health Clinic/Center
- Mount Orab, OH
- NPI 1942974332
-
- Rural Health Clinic/Center
- Corbin, KY
- NPI 1669256913
-
- Rural Health Clinic/Center
- Spindale, NC
- NPI 1942027891
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Health Clinic/Center
- Maysville, KY
- NPI 1821135518
Hospital
-
- Rural Acute Care Hospital
- Maysville, KY
- NPI 1881785863
Hospital
-
- General Acute Care Hospital
- Van Wert, OH
- NPI 1942267760
Hospital
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 LLCAdams County Regional Medical Center
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
- Adams County Regional Medical Center
- Van Wert County Hospital
- Saint Joseph Mount Sterling
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.6 of 100
- Quality
- 75.56
- Improvement activities
- 40
- Cost
- 59.98
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1124221 | KY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Kentucky, PLLC | Current | Accepting new patients | |
| Fast Pace Kentucky PLLC | Family | Current | Accepting new patients |
| Adams County Regional Medical Center | Current | Accepting new patients | |
| Pain Management Group LLC | Current | Accepting new patients | |
| Fast Pace Kentucky PLLC | Current | Accepting new patients | |
| Adams County Regional Medical Center | Current | Accepting new patients | |
| Adams County Regional Medical Center | Current | Accepting new patients | |
| Brock Medical, LLC | Current | Accepting new patients | |
| Fast Pace Kentucky, PLLC | Past | 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
- michelle.gilliland.1@18549.direct.athenahealth.com
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.