Gary Paul Quillen, ANP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AG1014022 Issued in MO

Practice address

1068 S Woods Mill Rd Ste 220
Town and Country, MO 63017-8333

Phone

(314) 394-1379

Fax

(314) 394-1377

NPI assigned

Oct 2, 2014

Last updated

Sep 24, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christopher T Labonte MD LLCGroup PAC ID 6002913761, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.85 of 100Reported as group

Quality

90.29

Improvement activities

40

Cost

69.1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71078

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.

• Christopher T. Labonte MD LLC

  dba LaBonte Medical Group

  • Internal Medicine Physician
  • Town and Country, MO
  • NPI 1952409971
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1861895013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 S WOODS MILL RD STE 220",
            "city": "TOWN AND COUNTRY",
            "state": "MO",
            "postal_code": "630178333",
            "telephone_number": "314-394-1379",
            "fax_number": "314-394-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 S WOODS MILL RD STE 220",
            "city": "TOWN AND COUNTRY",
            "state": "MO",
            "postal_code": "630178333",
            "telephone_number": "314-394-1379",
            "fax_number": "314-394-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILLEN",
        "first_name": "GARY",
        "middle_name": "PAUL",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-02",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "AG1014022",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "AG1014022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861895013",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Thomas Orrick, DMD, MSD
• Stuart Allan Pickens, DDS
• Megan Pierce
• Polaris Home Health Care St Louis LLC (Aevitas Home Health of St Louis)
• Premier Dialysis of West County, Inc
• Mark Douglas Ravenscraft, MD
• Lindsey Redfield, RN
• Brian Richter, PHD
• Amy Elizabeth Roberts, M.D.
• Maura Robinson, DDS

• Gerontology Nurse Practitioner in Town and Country, MO
• Providers in Town and Country, MO by specialty
• Gerontology Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.

Verify at the official NPI Registry.