KEITH ALAN GILLIS APRN
NPI 1376904334
Nurse Practitioner - Family in Fort Myers, FL
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
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Keith Gillis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Myers, FL 33908
- Reassigned Medicare billing, Florida enrollment
- 1,899 clinicians in this Medicare group
Fort Myers, FL 33908
- Reassigned Medicare billing, Florida enrollment
- 1,345 clinicians in this Medicare group
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
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.
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, FLPhysician 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.
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.
FORT MYERS, FL 33966
FORT MYERS, FL 33966
FORT MYERS, FL 33966
FORT MYERS, FL 33966
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 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.
Where is Keith Gillis located?
Keith Gillis practices at 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966. The listed phone number is (239) 343-1105.
What is Keith Gillis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Keith Gillis enrolled in Medicare?
Yes. Keith Gillis 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.
Which organizations bill Medicare for Keith Gillis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keith Gillis reassigns Medicare benefits to 2 organizations: Lee Health System Inc (Fort Myers, FL) and Lee Memorial Health System (Fort Myers, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keith Gillis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Keith Gillis accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Keith Gillis 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 Keith Gillis affiliated with any hospitals?
According to CMS data, Keith Gillis is affiliated with Gulf Coast Medical Center Lee Health.
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.
# Keith Alan Gillis, APRN · NPI 1376904334
Family physician in Fort Myers, Florida. Individual provider, active in the CMS NPPES registry since March 17, 2016.
## Identity
- **NPI:** 1376904334 (Entity type: Individual)
- **Enumerated:** March 17, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN9322325 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 13340 METRO PKWY STE 400, Fort Myers, FL 33966-4818
- **Phone:** (239) 343-1105 · **Fax:** (239) 343-1106
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lee Health System Inc (NPI 1942058557, Fort Myers, FL); Lee Memorial Health System (NPI 1992873319, Fort Myers, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 1, 2021
- **Other identifiers:** Medicaid 016983200 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1376904334) · Data from the CMS NPPES public registry.