JOHN GILMORE FNP-C
NPI 1396353397
Nurse Practitioner - Family in Marion, IL

Active since July 16, 2020PECOS EnrolledAccepts Medicare Assignment
2401 W MAIN ST, MARION, IL 62959(618) 997-5311 Get Directions Write a Review

NPPES record last updated: July 16, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John Gilmore Fnp-c NPPES

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

JOHN GILMORE FNP-C (NPI 1396353397) is an individual family provider in Marion, Illinois, licensed in Illinois (209021629) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Fairfield Memorial Hospital 1, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1396353397
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOHN GILMORECredential: FNP-C
Location Address2401 W MAIN STMarion, IL 62959-1188
Mailing Address2395 Lake Shore Dr SGoreville, IL 62939-3167 · (224) 316-0402
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 16, 2020
NPPES CertifiedJuly 16, 2020
NPI 1396353397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209021629
2401 W MAIN ST, Marion, IL 62959

Accepted 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

John Gilmore Fnp-c 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 ID8729408802
PECOS Enrollment IDI20201009002557
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.

Hospital Affiliations CMS Care Compare

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

Fairfield Memorial Hospital 1

Critical Access Hospitals · Fairfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141311
Location303 N W 11th StreetFairfield, IL 62837 · Wayne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62959 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Dentist
2401 W MAIN ST
MARION, IL 62959
Physician Assistant (Medical)
2401 W MAIN ST
MARION, IL 62959
Internal Medicine
2401 W MAIN ST
MARION, IL 62959
Family Medicine
2401 W MAIN ST, VETERANS ADMIN HOSP
MARION, IL 62959
Audiologist
2401 W MAIN ST, AUDIOLOGY 117 A
MARION, IL 62959
Dietitian, Registered
2401 W MAIN ST
MARION, IL 62959
Pharmacist
2401 W MAIN ST
MARION, IL 62959
Physical Therapist
2401 W MAIN ST
MARION, IL 62959

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396353397, enumerated as an "individual" on July 16, 2020.

The provider is located at 2401 W MAIN ST MARION, IL 62959 and the phone number is (618) 997-5311.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health. Please consult your insurance carrier or call the provider to verify.

John Gilmore is affiliated with: FAIRFIELD MEMORIAL HOSPITAL 1.