STEPHANIE MICHELE GILL PMHNP
NPI 1366312548
Nurse Practitioner - Psychiatric/Mental Health in Bloomington, IL

Active since November 11, 2025
1709 JUMER DR, BLOOMINGTON, IL 61704(708) 825-5679 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Michele Gill Pmhnp NPPES

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

STEPHANIE MICHELE GILL PMHNP (NPI 1366312548) is an individual psychiatric/mental health provider in Bloomington, Illinois, licensed in Illinois (041418412) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1366312548
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSTEPHANIE MICHELE GILLCredential: PMHNP
Location Address1709 JUMER DRBloomington, IL 61704-0914
Mailing Address2 Burgandy CtMackinaw, IL 61755-9448 · (708) 825-5679
Sole ProprietorYes
Enumeration DateNovember 11, 2025
NPPES CertifiedNovember 11, 2025
NPI 1366312548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IL · 041418412
1709 JUMER DR, Bloomington, IL 61704

Other Providers at the Same Location NPPES 6

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

Counselor (Professional)
1709 JUMER DR
BLOOMINGTON, IL 61704
Radiology (Diagnostic Radiology)
1709 JUMER DR, SUITE B
BLOOMINGTON, IL 61704
Clinic/Center (Sleep Disorder Diagnostic)
1709 JUMER DR
BLOOMINGTON, IL 61704
Nurse Practitioner (Psychiatric/Mental Health)
1709 JUMER DR
BLOOMINGTON, IL 61704
Counselor (Mental Health)
1709 JUMER DR
BLOOMINGTON, IL 61704
Specialist
1709 JUMER DR, SUITE B
BLOOMINGTON, IL 61704

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 Stephanie Gill's NPI number?

The NPI number for Stephanie Gill is 1366312548. It was assigned to this individual provider in the NPPES registry on November 11, 2025.

Where is Stephanie Gill located?

Stephanie Gill practices at 1709 Jumer Dr, Bloomington, IL 61704. The listed phone number is (708) 825-5679.

What is Stephanie Gill's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Stephanie Gill was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.