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AMANDA G GILLIS CRNA
NPI 1023474012
Nurse Anesthetist, Certified Registered in Canton, OH

Active since January 07, 2016
76.48/100
CMS Quality Rating
1320 MERCY DR NW, CANTON, OH 44708(330) 489-1000 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 19, 2024, May 16, 2021, Aug 13, 2018 and 1 more (4 updates tracked since 2016).

About Amanda G Gillis Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA G GILLIS CRNA (NPI 1023474012) is an individual nurse anesthetist, certified registered in Canton, Ohio, licensed in Ohio (APRN.CRNA.18613) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1023474012
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameAMANDA G GILLISCredential: CRNA
Location Address1320 MERCY DR NWCanton, OH 44708-2614
Mailing Address9500 Euclid Ave # E30Cleveland, OH 44195-0001 · (216) 444-8986 · Fax (216) 636-2043
Phone(330) 489-1000
Sole ProprietorNo
Enumeration DateJanuary 7, 2016
Last NPPES UpdateNovember 19, 20244 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1023474012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in OH · APRN.CRNA.18613
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1320 MERCY DR NW, Canton, OH 44708
Open in Google Maps ↗

Other Names 1

Former Name (1)Amanda Gillis Crna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda G Gillis Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Amanda Gillis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ohio Anesthesia Group, Inc
Same address
Anesthesiology
1320 MERCY DR NW
Canton, OH 44708
  • Reassigned Medicare billing, Ohio enrollment
  • 554 clinicians in this Medicare group
NPI 1639348113 (330) 656-5215
The Cleveland Clinic Foundation
49 mi
General Acute Care Hospital
9500 EUCLID AVE
Cleveland, OH 44195
  • Reassigned Medicare billing, Ohio enrollment
  • 7,608 clinicians in this Medicare group
NPI 1679525919 (216) 444-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.33
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN ROSE LYDEN RDN, LD
Dietitian, Registered
1320 MERCY DR NW
CANTON, OH 44708
Stark County (330) 588-4855
LAUREL DEVOE RDN, LD
Dietitian, Registered
1320 MERCY DR NW
CANTON, OH 44708
Stark County (330) 489-1000
DR. AIDA SAFAR MD
Pathology (Anatomic Pathology & Clinical Pathology)
1320 MERCY DR NW
CANTON, OH 44708
Stark County (330) 489-1000
AMY INDORF MD
Internal Medicine (Infectious Disease)
1320 MERCY DR NW
CANTON, OH 44708
Stark County (330) 580-4706
MRS. JANE ANN ERLITZ
Occupational Therapist
1320 MERCY DR NW
CANTON, OH 44708
Stark County (330) 489-1490
LOIS R MILOSEVIC CRNA
Nurse Anesthetist, Certified Registered
1320 MERCY DR NW
CANTON, OH 44708
Stark County (330) 489-1111
DR. CHRISTOPHER MICHAEL HAUGER I D.O.
Internal Medicine (Hospice and Palliative Medicine)
1320 MERCY DR NW
CANTON, OH 44708
Stark County (330) 430-2788
OBHG OHIO CORP
Obstetrics & Gynecology
1320 MERCY DR NW
CANTON, OH 44708
Stark County (864) 908-3530

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Gillis's NPI number?

The NPI number for Amanda Gillis is 1023474012. It was assigned to this individual provider in the NPPES registry on January 7, 2016. The provider is also known as Amanda Gillis Crna.

Where is Amanda Gillis located?

Amanda Gillis practices at 1320 Mercy Dr NW, Canton, OH 44708. The listed phone number is (330) 489-1000.

What is Amanda Gillis's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Amanda Gillis enrolled in Medicare?

Yes. Amanda Gillis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amanda Gillis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Gillis reassigns Medicare benefits to 2 organizations: Ohio Anesthesia Group, Inc (Canton, OH) and The Cleveland Clinic Foundation (Cleveland, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Gillis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Gillis accept?

Health plans from CareSource list Amanda Gillis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Gillis was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.