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MS. NANCY J GILLIAM APN BC
NPI 1245278464
Nurse Practitioner in Phillipsburg, NJ

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
755 MEMORIAL PKWY STE 106, PHILLIPSBURG, NJ 08865(908) 847-0514(866) 747-3167 Get Directions Write a Review

NPPES record last updated: June 22, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 22, 2018, Mar 14, 2016 (2 updates tracked since 2016).

About Ms. Nancy J Gilliam Apn Bc NPPES

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

MS. NANCY J GILLIAM APN BC (NPI 1245278464) is an individual nurse practitioner in Phillipsburg, New Jersey, licensed in New Jersey (26NJ00077700) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1245278464
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. NANCY J GILLIAMCredential: APN BC
Location Address755 MEMORIAL PKWY STE 106Phillipsburg, NJ 08865
Mailing Address755 Memorial Pkwy Ste 106Phillipsburg, NJ 08865-2774 · (908) 847-0514 · Fax (866) 747-3167
Phone(908) 847-0514
Fax(866) 747-3167
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 2, 2006
Last NPPES UpdateJune 22, 20182 updates tracked since enumeration
✔ NPI 1245278464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ00077700
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 26NJ00077700 (NJ)
755 MEMORIAL PKWY STE 106, Phillipsburg, NJ 08865
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Other Identifiers 3

Medicaid0058432NJ
Other2318736NJ · Aetna
Other223733353NJ · Horizon

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Nancy J Gilliam Apn 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.

PECOS PAC ID7113973538
PECOS Enrollment IDI20050329000231
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
167 services162 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
115 services113 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310060
Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County
Emergency services

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

St Luke's Hospital - Easton Campus

Acute Care Hospitals · Easton, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390162
Location250 South 21st StreetEaston, PA 18042 · Northampton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08865 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

DR. NARPINDER SINGH MD
Internal Medicine (Interventional Cardiology)
755 MEMORIAL PKWY STE 106
PHILLIPSBURG, NJ 08865
Warren County (908) 847-0514

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 Nancy Gilliam's NPI number?

The NPI number for Nancy Gilliam is 1245278464. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Nancy Gilliam located?

Nancy Gilliam practices at 755 Memorial Pkwy Ste 106, Phillipsburg, NJ 08865. The listed phone number is (908) 847-0514.

What is Nancy Gilliam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nancy Gilliam enrolled in Medicare?

Yes. Nancy Gilliam 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.

What insurance does Nancy Gilliam accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Nancy Gilliam 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 Nancy Gilliam affiliated with any hospitals?

According to CMS data, Nancy Gilliam is affiliated with St Luke's Warren Hospital, St Luke's Hospital Bethlehem and St Luke's Hospital - Easton Campus.

When was this NPI record last updated?

The NPPES record for Nancy Gilliam was last updated on June 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.