JILL M GORTON CRNP
NPI 1255531489
Nurse Practitioner in Warren, PA

Q: What is Jill Gorton's NPI number?

The NPI number for Jill Gorton is 1255531489. It was assigned to this individual provider in the NPPES registry on July 25, 2007.

Q: What is Jill Gorton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jill Gorton was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 25, 2007PECOS EnrolledAccepts Medicare Assignment

1885 MARKET ST, WARREN, PA 16365(814) 726-4047(814) 726-4045 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 24, 2022, Jul 27, 2021, Aug 26, 2020 and 2 more (5 updates tracked since 2018).

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About Jill M Gorton Crnp NPPES

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

JILL M GORTON CRNP (NPI 1255531489) is an individual nurse practitioner in Warren, Pennsylvania, licensed in Pennsylvania (SP009130) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Upmc Chautauqua At Wca, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1255531489

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJILL M GORTONCredential: CRNP

Location Address1885 MARKET STWarren, PA 16365-1277

Mailing Address1885 Market StWarren, PA 16365-1277 · (814) 726-4047 · Fax (814) 726-4045

Phone(814) 726-4047

Fax(814) 726-4045

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJuly 25, 2007

Last NPPES UpdateJanuary 24, 20225 updates tracked since enumeration

NPPES CertifiedJanuary 24, 2022

✔ NPI 1255531489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in PA · SP009130

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.

1885 MARKET ST, Warren, PA 16365

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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

Jill M Gorton Crnp 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 ID1951494483

PECOS Enrollment IDI20070829000633

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.

Medicare Billing Reassignments

Medicare enrollment records show Jill Gorton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jay E Endres Mdpc

2.0 mi

Family Medicine

12 ELM ST
Warren, PA 16365

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: Jay E Endres MD PC
2 clinicians in this Medicare group

NPI 1780875757 (814) 723-3520

Great Lakes Physician Practice PC

16 mi

Internal Medicine

15 S MAIN ST
Jamestown, NY 14701

Reassigned Medicare billing, Pennsylvania enrollment
8 clinicians in this Medicare group

NPI 1730599176 (716) 488-1877

Regional Health Services Inc

51 mi

Family Medicine

201 STATE ST
Erie, PA 16550

Reassigned Medicare billing, Pennsylvania enrollment
962 clinicians in this Medicare group

NPI 1174520654 (814) 877-8140

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 8

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.

199 services94 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

59 services59 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

33 services26 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

21 services21 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

17 services16 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Chautauqua At Wca

Acute Care Hospitals · Jamestown, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330239

Location207 Foote AvenueJamestown, NY 14701 · Chautauqua County

Emergency services Birthing friendly

Warren General Hospital

Acute Care Hospitals · Warren, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390146

LocationTwo Crescent Park WestWarren, PA 16365 · Warren County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16365 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier11 claims11 services$905.41 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers11 claims11 services$21.38 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

ALEXIS ROSE VAVALA

Physician Assistant