Individual provider Active NPI

Gina Dill, NP

  • Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1871114058
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2020016761 Issued in MO
Practice address
3850 S National Ave Ste 600
Springfield, MO 65807-5230
Phone
(417) 882-4880
Fax
(417) 882-7843
NPI assigned
Apr 29, 2020
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2020016761 MO Primary
Family Nurse Practitioner 363LF0000X 2020016761 MO

Addresses

Primary practice location

3850 S National Ave Ste 600
Springfield, MO 65807-5230

Mailing address

98 Stillwater Rd
Conway, MO 65632-6257

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200623002418 MO Practitioner - Nurse Practitioner 4486076304 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2020016761MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Jun 22, 2020 Accepting new patients
Citizens Memorial Healthcare CurrentSince Oct 19, 2022 Accepting new patients
Citizens Memorial Healthcare CurrentSince Oct 19, 2022 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Oct 22, 2025 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

120 Hospital Dr
Ste 300
Lebanon, MO 65536
Phone (417) 533-6746

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1871114058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 STILLWATER RD",
            "city": "CONWAY",
            "state": "MO",
            "postal_code": "656326257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 S NATIONAL AVE STE 600",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075230",
            "telephone_number": "417-882-4880",
            "fax_number": "417-882-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILL",
        "first_name": "GINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2020016761",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020016761",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.