Individual provider Active NPI

Elizabeth Gill, FNP

  • Nurse Practitioner
  • Hopkinsville, KY
National Provider Identifier
1982252748
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26315 Issued in TN
Practice address
320 W 18TH St
Hopkinsville, KY 42240-1965
Phone
(270) 887-0100
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26315 TN Primary

Addresses

Primary practice location

320 W 18TH St
Hopkinsville, KY 42240-1965

Mailing address

3498 Clover Hill Dr
Clarksville, TN 37043-3879
Phone (252) 622-7409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201207001143 KY Practitioner - Nurse Practitioner 0143632646 Reassigns benefits to 4 organizations
I20250822000946 TN Practitioner - Nurse Practitioner 0143632646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iris Medical GroupGroup PAC ID 0648653360, 82 clinicians
Fep of Kentucky LLCGroup PAC ID 8123473626, 21 clinicians

Practice addresses (Care Compare)

1131 Magnolia St
Bowling Green, KY 42103-2411
Phone (615) 274-9767

320 W 18TH St
Hopkinsville, KY 44240-1965
Phone (505) 287-4446

9019 Overlook Blvd
Suite C1B
Brentwood, TN 37027-2737
Phone (615) 274-9767

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fep of Kentucky LLC Nurse Practitioner CurrentSince Dec 12, 2023 Accepting new patients
Maanya LLC CurrentSince Nov 3, 2020 Accepting new patients
Iris Medical Group Nurse Practitioner CurrentSince Aug 1, 2025 Accepting new patients
Iris Medical Group Kentucky LLC Current Accepting new patients
Trigg County Hospital, Inc CurrentSince Apr 12, 2021 Accepting new patients
Maanya LLC CurrentSince Nov 3, 2020 Accepting new patients
Trigg County Hospital, Inc Nurse Practitioner CurrentSince Apr 12, 2021 Accepting new patients
Iris Wound Care, PC Nurse Practitioner Past Accepting new patients

Locations

1131 Magnolia St
Bowling Green, KY 42103
Phone (615) 873-4490

250 Main St
#A
Cadiz, KY 42211
Phone (270) 250-4504

250 Main St
Ste A
Cadiz, KY 42211
Phone (270) 522-3444

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

1724 Kenton St
Ste 1D
Hopkinsville, KY 42240
Phone (270) 887-9066

9019 Overlook Blvd
Ste C1B
Brentwood, TN 37027

Interoperability endpoints

  • Direct secure messaging: elizabeth.gill.1@30029.direct.athenahealth.com

Organizations & group practices 8

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 3

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": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1982252748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3498 CLOVER HILL DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370433879",
            "telephone_number": "252-622-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W 18TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401965",
            "telephone_number": "270-887-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "26315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.