John A Gill, MD
Individual provider Active NPI Family Medicine Physician · Auburn, NE
NPI 1831294099 · NPPES record last updated Mar 2, 2020
Key facts
- NPI
- 1831294099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 21761 (NE)
- Practice address
- 2115 14TH St Ste 100
Auburn, NE 68305-1760 - Phone
- (402) 274-4993
- Fax
- (402) 274-4905
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Nebraska College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Auburn Family Health Center PC
Practice addresses (Care Compare)
2115 14TH St
Suite 100
Auburn, NE 68305-1760
Phone (402) 274-4993
Hospital & facility affiliations
- Good Samaritan Society Home Care of Southeast NE
- Nemaha County Hospital
- CHI Health St Mary'S
- Community Medical Center, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 21 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100709000571 | NE | Practitioner - Family Practice | 4880790401 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Auburn Family Health Center PC | Family Medicine | Current |
Accepting new patients |
Locations
2115 14th St
Ste 100
Auburn, NE 68305
Phone (402) 274-4993
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 21761 | NE | Yes |
Addresses
Primary practice location
2115 14TH St Ste 100
Auburn, NE 68305-1760
Mailing address
2115 14TH St
Ste 100
Auburn, NE 68305-1760
Phone (402) 274-4993
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47075088600 | Medicaid | NE |
Other providers in Auburn, NE
- Mindy Fankhauser
- Brooke Amber Faulks
- Rachel Frerichs Shea
- Taylor Garton
- Meagan Gerdes
- Kendra Ann Gottula
- Green River Associates Inc
- Robin Griggs
- Kelsey Gulizia
- Kimberly Hahn
All providers in Auburn, NE · Family Medicine Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.