KEITH ALAN GILLIS APRN
NPI 1376904334
Nurse Practitioner - Family in Fort Myers, FL

Q: What is Keith Gillis's NPI number?

The NPI number for Keith Gillis is 1376904334. It was assigned to this individual provider in the NPPES registry on March 17, 2016.

Q: What is Keith Gillis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Keith Gillis was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 March 17, 2016PECOS EnrolledAccepts Medicare Assignment

13340 METRO PKWY STE 400, FORT MYERS, FL 33966(239) 343-1105(239) 343-1106 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2021, Mar 25, 2021, Jul 13, 2020 and 4 more (7 updates tracked since 2016).

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About Keith Alan Gillis Aprn NPPES

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

KEITH ALAN GILLIS APRN (NPI 1376904334) is an individual family provider in Fort Myers, Florida, licensed in Florida (APRN9322325) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Gulf Coast Medical Center Lee Health, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1376904334

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameKEITH ALAN GILLISCredential: APRN

Location Address13340 METRO PKWY STE 400Fort Myers, FL 33966-4818

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-1105 · Fax (239) 343-1106

Phone(239) 343-1105

Fax(239) 343-1106

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 17, 2016

Last NPPES UpdateApril 1, 20217 updates tracked since enumeration

NPPES CertifiedApril 1, 2021

✔ NPI 1376904334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN9322325

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License APRN9322325 (FL)

13340 METRO PKWY STE 400, Fort Myers, FL 33966

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Other Identifiers 1

Medicaid016983200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Keith Alan Gillis Aprn 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 ID244538791

PECOS Enrollment IDI20160415001592

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

35 services21 patients

Hospital Affiliations CMS Care Compare

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

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100220

Location13681 Doctors WayFort Myers, FL 33912 · Lee County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33966 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

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.

DR. PHILIP CHARLES STONE JR. D.O.

Internal Medicine (Pulmonary Disease)