Individual provider Active NPI

Jill Renee Gates, NP

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1790384196
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-109295 Issued in AL
Practice address
3290 Dauphin St Ste 301
Mobile, AL 36606-4052
Phone
(251) 660-5930
Fax
(251) 660-5931
NPI assigned
Oct 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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 APRN11034579 FL
Family Nurse Practitioner 363LF0000X 1-109295 AL Primary

Addresses

Primary practice location

3290 Dauphin St Ste 301
Mobile, AL 36606-4052

Mailing address

PO Box 21595
Belfast, ME 04915-4112
Phone (251) 243-4577

Other identifiers 1

IdentifierTypeStateIssuer
123568200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 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
I20201221002156 AL Practitioner - Nurse Practitioner 4486066198
I20240822004313 FL Practitioner - Nurse Practitioner 4486066198 Reassigns benefits to 2 organizations

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
Woodlands Medical Specialists P aGroup PAC ID 1052469681, 48 clinicians
Florida Cancer Specialists and Research Institute, LLCGroup PAC ID 2567356058, 464 clinicians

Practice addresses (Care Compare)

4724 N Davis Hwy
Pensacola, FL 32503-2339
Phone (850) 696-4000

Hospital & facility affiliations

  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • Sacred Heart Hospital on the Emerald Coast Hospital, Miramar Beach, FL, CCN 100292

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Woodlands Medical Specialists P a CurrentSince Sep 2, 2024 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

161 E Nine Mile Rd
#100
Pensacola, FL 32534
Phone (850) 201-2422

4724 N Davis Hwy
Ste 100
Pensacola, FL 32503
Phone (850) 201-2421

4724 N Davis Hwy
Pensacola, FL 32503
Phone (850) 444-4716

161 E Nine Mile Rd
Pensacola, FL 32534
Phone (239) 432-8500

1549 Airport Blvd
Ste 440
Pensacola, FL 32504
Phone (850) 201-2418

4724 N Davis Hwy
#100
Pensacola, FL 32503
Phone (850) 201-2421

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

Interoperability endpoints

  • Direct secure messaging: jill.gates@woodlands.ikm.direct-ci.com

Organizations & group practices 2

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1790384196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21595",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154112",
            "telephone_number": "251-243-4577",
            "fax_number": "251-405-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 DAUPHIN ST STE 301",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064052",
            "telephone_number": "251-660-5930",
            "fax_number": "251-660-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "JILL",
        "middle_name": "RENEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11034579",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-109295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123568200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.