Active NPI
Nicole Gellatly, FNP
- Family Nurse Practitioner
- Quincy, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209029412
- Practice address
- 1005 Broadway St
Quincy, IL 62301-2834 - Phone
- (217) 223-1200
- NPI assigned
- Nov 19, 2009
- Last updated
- Sep 2, 2026
- Sex
- Female
- Sole proprietor
- No
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 | A103901 | IA | |
| Family Nurse Practitioner | 363LF0000X | 209029412 | IL | Primary |
Addresses
Primary practice location
1005 Broadway St
Quincy, IL 62301-2834
Mailing address
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-1200
Other practice location 1
5409 Avenue O
Fort Madison, IA 52627-9601
Phone (319) 376-2134
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831427467 | Other | IA | WELLMARK |
| 1831427467 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
420 N 34TH St
Quincy, IL 62301-7431
Phone (217) 214-9626
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A103901 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessing Hospital | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| West Central Pathology Specialists, S.C. | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Quincy Clinical Laboratory Services SC | Current | Accepting new patients | |
| QV Urgent Care Ia PLLC | Current | Accepting new patients | |
| QV Urgent Care Ia PLLC | Current | Accepting new patients | |
| Davis County Hospital | Current | Accepting new patients | |
| Davis County Hospital | Current | Accepting new patients |
Locations
509 N Madison St
Bloomfield, IA 52537
Phone (641) 664-2145
1501 39th St
Fort Madison, IA 52627
Phone (319) 376-1511
801 N Grand Ave
Mt Pleasant, IA 52641
Phone (319) 984-4775
525 E Grant St
Macomb, IL 61455
Phone (309) 836-1611
1005 Broadway St
Quincy, IL 62301
420 N 34th St
Quincy, IL 62301
Phone (217) 214-9626
Interoperability endpoints
- https://fhir.blessinghospital.com/R4/open-Prod
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Quincy, IL
- NPI 1114471737
-
- Specialist
- Bloomfield, IA
- NPI 1487740486
-
dba QuickVisit Urgent Care
- Urgent Care Clinic/Center
- Mt Pleasant, IA
- NPI 1407465917
-
- Anatomic Pathology & Clinical Pathology Physician
- Quincy, IL
- NPI 1114773272
-
- Anatomic Pathology & Clinical Pathology Physician
- Quincy, IL
- NPI 1083895452
-
dba Blessing Health Monroe City
- Rural Health Clinic/Center
- Monroe City, MO
- NPI 1013683507
-
dba Davis County Medical Associates
- Rural Health Clinic/Center
- Bloomfield, IA
- NPI 1821413667
-
dba Quickvisit Urgent Care
- Rural Health Clinic/Center
- Washington, IA
- NPI 1235835950
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Quincy, IL
- NPI 1760571699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1831427467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 BROADWAY ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012834",
"telephone_number": "217-223-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 BROADWAY ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012834",
"telephone_number": "217-223-1200"
}
],
"practiceLocations": [
{
"address_1": "5409 Avenue O",
"address_purpose": "LOCATION",
"city": "Fort Madison",
"state": "IA",
"postal_code": "526279601",
"country_code": "US",
"telephone_number": "319-376-2134",
"fax_number": "319-376-2188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GELLATLY",
"first_name": "NICOLE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-19",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A103901",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209029412",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "1831427467",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1831427467",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.