JOHN GILMORE FNP-C
NPI 1396353397
Nurse Practitioner - Family in Marion, IL
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show John Gilmore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fairfield, IL 62837
- Reassigned Medicare billing, Illinois enrollment
- 41 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 2
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Fairfield Memorial Hospital 1
Critical Access Hospitals · Fairfield, ILAscension St Vincent Evansville
Acute Care Hospitals · Evansville, INPhysician 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.
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.
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 John Gilmore's NPI number?
The NPI number for John Gilmore is 1396353397. It was assigned to this individual provider in the NPPES registry on July 16, 2020.
Where is John Gilmore located?
John Gilmore practices at 2401 W Main St, Marion, IL 62959. The listed phone number is (618) 997-5311.
What is John Gilmore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is John Gilmore enrolled in Medicare?
Yes. John Gilmore 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 organization bills Medicare for John Gilmore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Gilmore reassigns Medicare benefits to Fairfield Memorial Hospital Association (Fairfield, IL). The 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 John Gilmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Gilmore accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list John Gilmore 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 John Gilmore affiliated with any hospitals?
According to CMS data, John Gilmore is affiliated with Fairfield Memorial Hospital 1 and Ascension St Vincent Evansville.
When was this NPI record last updated?
The NPPES record for John Gilmore was last updated on July 16, 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.
# John Gilmore, FNP-C · NPI 1396353397
Family physician in Marion, Illinois. Individual provider, active in the CMS NPPES registry since July 16, 2020.
## Identity
- **NPI:** 1396353397 (Entity type: Individual)
- **Enumerated:** July 16, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209021629 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2401 W MAIN ST, Marion, IL 62959-1188
- **Phone:** (618) 997-5311
## 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:** Fairfield Memorial Hospital Association (NPI 1255422416, Fairfield, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 16, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1396353397) · Data from the CMS NPPES public registry.