Individual provider Active NPI

Gary L. Gillen, M.D.

  • Family Medicine Physician
  • Morrisville, VT
National Provider Identifier
1851397236
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042.0014151 Issued in VT
Practice address
609 Washington Hwy
Morrisville, VT 05661-8652
Phone
(802) 888-5639
Fax
(802) 888-6040
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 042.0014151 VT Primary

Addresses

Primary practice location

609 Washington Hwy
Morrisville, VT 05661-8652

Mailing address

PO Box 749
Morrisville, VT 05661-0749
Phone (802) 851-8619

Other practice location 1

1878 Mountain Rd
Stowe, VT 05672-4776
Phone (802) 253-4853

Other identifiers 1

IdentifierTypeStateIssuer
1033707MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181004001512 VT Practitioner - Family Practice 5193619799 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio Medical University, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lamoille Health Partners IncGroup PAC ID 4789586942, 37 clinicians

Practice addresses (Care Compare)

272 N Main St
Cambridge, VT 05444-9810
Phone (802) 644-5114

607 Washington Hwy
Morrisville, VT 05661-8652
Phone (802) 888-8320

609 Washington Hwy
Morrisville, VT 05661-8652
Phone (802) 888-7585

Hospital & facility affiliations

  • Lamoille Home Health & Hospice Home health agency, Morrisville, VT, CCN 477015
  • Lamoille HHA Hospice, Morrisville, VT, CCN 471503
  • Copley Hospital Hospital, Morrisville, VT, CCN 471305
  • North Country Hospital and Health Center Hospital, Newport, VT, CCN 471304
  • Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Rutland Region, Inc. Family Medicine CurrentSince Oct 1, 2018 Accepting new patients
Lamoille Health Partners, Inc Family Medicine Current Accepting new patients
Community Health Centers of the Rutland Region, Inc. Family Medicine CurrentSince Oct 1, 2018 Accepting new patients
Community Health Centers of the Rutland Region Inc Family Medicine CurrentSince Oct 1, 2018 Accepting new patients
Community Health Centers of the Rutland Region, Inc. Family Medicine CurrentSince Oct 1, 2018 Accepting new patients
Community Health Centers of the Rutland Region Inc Family Medicine Current Accepting new patients
Community Health Centers of the Rutland Region, Inc Family Medicine CurrentSince Oct 1, 2018 Accepting new patients
Lamoille Health Partners, Inc Current Accepting new patients
Lamoille Health Partners Inc. Family Medicine CurrentSince Oct 23, 2023 Accepting new patients
Lamoille Health Partners, Inc Family Medicine CurrentSince Oct 23, 2023 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Nancy Alkire LLC Past Accepting new patients

Locations

275 VT 30 N
Bomoseen, VT 05732
Phone (802) 468-5641

420 Grove St
Brandon, VT 05733
Phone (802) 247-6305

272 N Main St
Unit 101
Cambridge, VT 05444
Phone (802) 644-5114

609 Washington Hwy
Morrisville, VT 05661
Phone (802) 888-5639

71 Allen St
Ste 402
Rutland, VT 05701
Phone (800) 468-9118

1 General Wing Rd
Rutland, VT 05701
Phone (802) 773-9131

2987 Vt Route 22A
Shoreham, VT 05770
Phone (802) 897-7000

278 Vt Route 149
West Pawlet, VT 05775
Phone (800) 468-9118

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDHBAA

Organizations & group practices 12

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 5

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1851397236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056610749",
            "telephone_number": "802-851-8619",
            "fax_number": "802-851-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 WASHINGTON HWY",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618652",
            "telephone_number": "802-888-5639",
            "fax_number": "802-888-6040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1878 Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "Stowe",
            "state": "VT",
            "postal_code": "056724776",
            "country_code": "US",
            "telephone_number": "802-253-4853",
            "fax_number": "802-888-1759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLEN",
        "first_name": "GARY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042.0014151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033707",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, VT

Sources for this page

Verify at the official NPI Registry.