JUSTIN PAUL GILDOW F.N.P-BC
NPI 1134468168
Nurse Practitioner - Family in Bellefontaine, OH
About Justin Paul Gildow F.n.p-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN PAUL GILDOW F.N.P-BC (NPI 1134468168) is an individual family provider in Bellefontaine, Ohio, licensed in Ohio (14031) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Justin Paul Gildow F.n.p-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Justin Gildow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bellefontaine, OH 43311
- Reassigned Medicare billing, Ohio enrollment
- 27 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital
Acute Care Hospitals · Marysville, OHMary Rutan Hospital
Acute Care Hospitals · Bellefontaine, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43311 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Justin Gildow's NPI number?
The NPI number for Justin Gildow is 1134468168. It was assigned to this individual provider in the NPPES registry on February 12, 2013.
Where is Justin Gildow located?
Justin Gildow practices at 212 E Columbus Ave, Bellefontaine, OH 43311. The listed phone number is (937) 599-1411.
What is Justin Gildow's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Justin Gildow enrolled in Medicare?
Yes. Justin Gildow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Justin Gildow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Gildow reassigns Medicare benefits to Community Health & Wellness Partners Of Logan County (Bellefontaine, OH). The 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 Justin Gildow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Justin Gildow accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Justin Gildow 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.
Is Justin Gildow affiliated with any hospitals?
According to CMS data, Justin Gildow is affiliated with Memorial Hospital and Mary Rutan Hospital.
When was this NPI record last updated?
The NPPES record for Justin Gildow was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Justin Paul Gildow, F.N.P-BC · NPI 1134468168
Family physician in Bellefontaine, Ohio. Individual provider, active in the CMS NPPES registry since February 12, 2013.
## Identity
- **NPI:** 1134468168 (Entity type: Individual)
- **Enumerated:** February 12, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 14031 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 212 E COLUMBUS AVE, Bellefontaine, OH 43311-2033
- **Phone:** (937) 599-1411 · **Fax:** (937) 599-4128
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Community Health & Wellness Partners Of Logan County (NPI 1336649599, Bellefontaine, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** May 16, 2025
- **Other identifiers:** Medicaid 0101752 (OH); Other 14031 (OH)
---
Source: [NPI Profile](https://npiprofile.com/npi/1134468168) · Data from the CMS NPPES public registry.