KRYSTAL GILLIS
NPI 1477884351
Dentist - General Practice in Clinton, MO

Active since January 17, 2010PECOS Enrolled
1108 E OHIO ST, CLINTON, MO 64735(660) 885-6933 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 1, 2023, Feb 10, 2017 (2 updates tracked since 2017).

About Krystal Gillis NPPES

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

KRYSTAL GILLIS (NPI 1477884351) is an individual general practice provider in Clinton, Missouri, licensed in Missouri (2008016892) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477884351
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameKRYSTAL GILLIS
Location Address1108 E OHIO STClinton, MO 64735-2458
Mailing Address1108 E Ohio StClinton, MO 64735-2458 · (660) 885-6933 · Fax (660) 885-6935
Sole ProprietorNo
Enumeration DateJanuary 17, 2010
Last NPPES UpdateNovember 1, 20232 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
NPI 1477884351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in MO · 2008016892 Licensed in IA · 08688
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1108 E OHIO ST, Clinton, MO 64735

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 (PECOS)

Krystal Gillis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 64735 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
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 2

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

Dentist
1108 E OHIO ST
CLINTON, MO 64735
Dentist
1108 E OHIO ST
CLINTON, MO 64735

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 Krystal Gillis's NPI number?

The NPI number for Krystal Gillis is 1477884351. It was assigned to this individual provider in the NPPES registry on January 17, 2010.

Where is Krystal Gillis located?

Krystal Gillis practices at 1108 E Ohio St, Clinton, MO 64735. The listed phone number is (660) 885-6933.

What is Krystal Gillis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Krystal Gillis enrolled in Medicare?

Yes. Krystal Gillis is registered in the Medicare PECOS enrollment system.

What insurance does Krystal Gillis accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 17 other insurers list Krystal 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.

When was this NPI record last updated?

The NPPES record for Krystal Gillis was last updated on November 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.