Wade Gillard, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

212171 Issued in LA

Practice address

4201 Nelson Rd Ste 100
Lake Charles, LA 70605-4187

Phone

(337) 310-2273

Fax

(337) 310-4520

NPI assigned

Apr 9, 2020

Last updated

Aug 15, 2022By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palliative Care at Heart, LLCGroup PAC ID 7113354408, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wade.gillard@1288.direct.myezyaccess.com

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.

• Palliative Care at Heart, LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Terrytown, LA
  • NPI 1689135097
  Medicare reassignment Care Compare group NPD
• Calcasieu Emergency Group LLC

  • Emergency Medicine Physician
  • Lake Charles, LA
  • NPI 1215996467

  Nurse Practitioner

  Medicare reassignment NPD
• Calcasieu Urgent Care LLC

  dba Calcasieu Urgent Care

  • Urgent Care Clinic/Center
  • Lake Charles, LA
  • NPI 1467715490
  Medicare reassignment NPD
• Calcasieu Urgent Care, LLC

  • Rural Health Clinic/Center
  • Breaux Bridge, LA
  • NPI 1194482398
  NPD
• Palliative Care at Heart, LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Lake Charles, LA
  • NPI 1336600675
  NPD
• Palliative Care at Heart, LLC

  • Nurse Practitioner
  • Fort Smith, AR
  • NPI 1124589536
  NPD (past)

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1982223087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 NELSON RD STE 100",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054187",
            "telephone_number": "337-310-2273",
            "fax_number": "337-310-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 NELSON RD STE 100",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054187",
            "telephone_number": "337-310-2273",
            "fax_number": "337-310-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLARD",
        "first_name": "WADE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-09",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "212171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2573063",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Gill, PHARMD
• Kayla Gill
• Rebecca Mia Gill
• Emily Shannon Gillard, FNP-C
• Leon Gillard III
• Lauren A Gilley, PT
• Sheila Darlene Gilley, L.P.C.
• Chance Lauren Gilmer, MS, LAT, ATC
• Candace Douglas Gilmore, M.D.
• Richard M Gilmore, MD

• Family Nurse Practitioner in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.