NPIMap

Individual provider Active NPI

Daniel J Gilles, PA

  • Physician Assistant
  • Stanley, WI
National Provider Identifier
1891775599
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1096 Issued in WI
Practice address
1120 Pine St
Stanley, WI 54768-1297
Phone
(715) 644-5530
Fax
(715) 644-6223
NPI assigned
Jan 19, 2006
Last updated
Jun 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1096 WI Primary

Addresses

Primary practice location

1120 Pine St
Stanley, WI 54768-1297

Mailing address

1120 Pine St
Stanley, WI 54768-1297
Phone (715) 644-5530

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100422000134 WI Practitioner - Physician Assistant 1951438084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Stanley Hospital and Clinics IncGroup PAC ID 8325957095, shared by 6 NPIs, 34 clinicians

Practice addresses (Care Compare)

1120 Pine St
Stanley, WI 54768-1297
Phone (715) 644-5530

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1096WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Stanley Hospital & Clinics, Inc. CurrentSince Nov 26, 2023 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc CurrentSince Sep 1, 2002 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc. CurrentSince Sep 1, 2002 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc Current Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

6 Johnson St
Owen, WI 54460
Phone (715) 229-2177

1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530

704 S Clark St
Thorp, WI 54771
Phone (715) 669-5536

Interoperability endpoints

  • Direct secure messaging: dgilles168917@direct.aspirus.org

Organizations & group practices 5

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275523200000",
    "number": "1891775599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 PINE ST",
            "city": "STANLEY",
            "state": "WI",
            "postal_code": "547681297",
            "telephone_number": "715-644-5530",
            "fax_number": "715-644-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 PINE ST",
            "city": "STANLEY",
            "state": "WI",
            "postal_code": "547681297",
            "telephone_number": "715-644-5530",
            "fax_number": "715-644-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLES",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2010-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanley, WI

Sources for this page

Verify at the official NPI Registry.