GUINEVERE M NILLES PA
NPI 1265819064
Physician Assistant in Fort Wayne, IN

Q: What is Guinevere Nilles's NPI number?

The NPI number for Guinevere Nilles is 1265819064. It was assigned to this individual provider in the NPPES registry on April 30, 2015.

Q: What is Guinevere Nilles's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Guinevere Nilles was last updated on July 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 April 30, 2015

85.18/100

CMS Quality Rating

7910 W JEFFERSON BLVD STE 108, FORT WAYNE, IN 46804(260) 484-8830(260) 483-1911 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2020, May 6, 2020, Jul 9, 2018 and 1 more (4 updates tracked since 2018).

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About Guinevere M Nilles Pa NPPES

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

GUINEVERE M NILLES PA (NPI 1265819064) is an individual physician assistant in Fort Wayne, Indiana, licensed in Indiana (10001910A) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1265819064

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameGUINEVERE M NILLESCredential: PA

Location Address7910 W JEFFERSON BLVD STE 108Fort Wayne, IN 46804-4159

Mailing Address6610 Mutual DrFort Wayne, IN 46825-4236 · (260) 484-8830 · Fax (260) 483-1911

Phone(260) 484-8830

Fax(260) 483-1911

Sole ProprietorNo

Enumeration DateApril 30, 2015

Last NPPES UpdateJuly 23, 20204 updates tracked since enumeration

NPPES CertifiedJuly 23, 2020

✔ NPI 1265819064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IN · 10001910A

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

7910 W JEFFERSON BLVD STE 108, Fort Wayne, IN 46804

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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.

85.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

98.19

Promoting Interoperability

Improvement Activities

Cost

53.13

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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.

CARRIE JEAN BOOTS N.P.

Nurse Practitioner (Family)