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TAMISHA P GILMORE
NPI 1407605819
Nurse Practitioner - Family in Victorville, CA

Active since May 16, 2024PECOS EnrolledAccepts Medicare Assignment
12830 HESPERIA RD STE A-D, VICTORVILLE, CA 92395(760) 684-8999(760) 684-8111 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2026, Sep 26, 2024, May 16, 2024 (3 updates tracked since 2024).

About Tamisha P Gilmore NPPES

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

TAMISHA P GILMORE (NPI 1407605819) is an individual family provider in Victorville, California, licensed in California (95029418) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1407605819
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAMISHA P GILMORE
Location Address12830 HESPERIA RD STE A-DVictorville, CA 92395-7788
Mailing Address12830 Hesperia Rd Ste A-dVictorville, CA 92395-7788 · (760) 684-8999 · Fax (760) 684-8111
Phone(760) 684-8999
Fax(760) 684-8111
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 16, 2024
Last NPPES UpdateMarch 4, 20263 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1407605819 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 CA · 95029418
12830 HESPERIA RD STE A-D, Victorville, CA 92395
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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

Tamisha P Gilmore 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 ID3971044520
PECOS Enrollment IDI20240923001897
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92395 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 10

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

BETH ANN JOHNSON FNP-C
Nurse Practitioner (Family)
12830 HESPERIA RD STE A-D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-8999
BENJAMIN LEE I
Acupuncturist
12830 HESPERIA RD STE A-D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-8999
DINA MOONEY LMFT
Marriage & Family Therapist
12830 HESPERIA RD STE A-D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-8999
LESLIE TRAN RDN
Dietitian, Registered
12830 HESPERIA RD STE A-D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-8999
TIFFANY HAMM
Social Worker
12830 HESPERIA RD STE A-D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-8999
MICKEY MICHELLE FOX FNP-BC
Nurse Practitioner
12830 HESPERIA RD STE A-D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-8999
MISS PAYAL SAMIR BHAVSAR FNP-BC
Nurse Practitioner (Family)
12830 HESPERIA RD STE A-D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-8999
DR. FELIX LEE D.C.
Chiropractor
12830 HESPERIA RD STE A-D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-8999

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 Tamisha Gilmore's NPI number?

The NPI number for Tamisha Gilmore is 1407605819. It was assigned to this individual provider in the NPPES registry on May 16, 2024.

Where is Tamisha Gilmore located?

Tamisha Gilmore practices at 12830 Hesperia Rd Ste A-D, Victorville, CA 92395. The listed phone number is (760) 684-8999.

What is Tamisha Gilmore's specialty?

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

Is Tamisha Gilmore enrolled in Medicare?

Yes. Tamisha 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.

When was this NPI record last updated?

The NPPES record for Tamisha Gilmore was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.