Active NPI
Angela M Gillmor
- Family Nurse Practitioner
- Sandusky, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.025606
- Practice address
- 5420 Milan Rd
Sandusky, OH 44870-5846 - Phone
- (419) 557-5052
- NPI assigned
- Mar 25, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.025606 | OH | Primary |
Addresses
Primary practice location
5420 Milan Rd
Sandusky, OH 44870-5846
Mailing address
5420 Milan Rd
Sandusky, OH 44870-5846
Phone (419) 557-5052
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN.CNP.025522 | Other | OH | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Hayes Ave
Sandusky, OH 44870-3323
Phone (419) 557-7400
Hospital & facility affiliations
- Firelands Regional Medical Center
- Bellevue Hospital
- Fisher-Titus Hospital
- Magruder Hospital
- Mercy Health - Willard Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.23 of 100
- Quality
- 59.13
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.025606 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Coast Professional Company, LLC | Current | Accepting new patients | |
| North Coast Professional Company, LLC | Current | Accepting new patients |
Locations
5433 State Route 113
Bellevue, OH 44811
Phone (567) 256-3450
292 Benedict Ave
Norwalk, OH 44857
Phone (419) 663-3737
703 Tyler St
Ste 150
Sandusky, OH 44870
Phone (419) 625-8722
5420 Milan Rd
Sandusky, OH 44870
Phone (419) 557-5052
1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455
703 Tyler St
Ste 353
Sandusky, OH 44870
703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785
1100 Neal Zick Rd
Willard, OH 44890
Phone (419) 933-2811
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Sandusky, OH
- NPI 1881648210
-
- General Acute Care Hospital
- Sandusky, OH
- NPI 1801884655
-
- Rural Health Clinic/Center
- Fremont, OH
- NPI 1407393242
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tiffin, OH
- NPI 1154372381
Hospital
-
- General Acute Care Hospital
- Sandusky, OH
- NPI 1285392936
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sandusky, OH
- NPI 1629028600
Hospital
-
- General Acute Care Hospital
- Sandusky, OH
- NPI 1801884655
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norwalk, OH
- NPI 1992756118
Hospital
-
- General Acute Care Hospital
- Norwalk, OH
- NPI 1992738959
-
- Critical Access Hospital
- Port Clinton, OH
- NPI 1922079532
-
- Critical Access Hospital
- Willard, OH
- NPI 1790731016
-
- General Acute Care Hospital
- Bellevue, OH
- NPI 1134161623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585094400000",
"number": "1811524333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5420 MILAN RD",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448705846",
"telephone_number": "419-557-5052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5420 MILAN RD",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448705846",
"telephone_number": "419-557-5052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLMOR",
"first_name": "ANGELA",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-25",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.025606",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "APRN.CNP.025522",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sandusky, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.