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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHAEL PHILIP ABRACOSA GILLIAM CPNP
NPI 1487587481
Nurse Practitioner - Pediatrics in Nampa, ID

Active since June 08, 2026
9850 W ST LUKES DR, NAMPA, ID 83687(208) 205-7820(208) 205-7822 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael Philip Abracosa Gilliam Cpnp NPPES

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

MICHAEL PHILIP ABRACOSA GILLIAM CPNP (NPI 1487587481) is an individual pediatrics provider in Nampa, Idaho, licensed in Idaho (5481515) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1487587481
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameMICHAEL PHILIP ABRACOSA GILLIAMCredential: CPNP
Location Address9850 W ST LUKES DRNampa, ID 83687-7912
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 205-7820
Fax(208) 205-7822
Sole ProprietorYes
Enumeration DateJune 8, 2026
Last NPPES UpdateOctober 6, 2026
NPPES CertifiedOctober 6, 2026
✔ NPI 1487587481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in ID · 5481515
9850 W ST LUKES DR, Nampa, ID 83687
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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.

JOHN-MINH NGUYEN D.O
Psychiatry & Neurology (Psychiatry)
9850 W ST LUKES DR
NAMPA, ID 83687
Canyon County (208) 706-6375
LINDSAY NELSON LMSW
Social Worker (Clinical)
9850 W ST LUKES DR
NAMPA, ID 83687
Canyon County (208) 505-2000
BONNIE HOEWING NP
Nurse Practitioner
9850 W ST LUKES DR
NAMPA, ID 83687
Canyon County (208) 205-7282
MANDY PALESANO PHARMD
Pharmacist
9850 W ST LUKES DR
NAMPA, ID 83687
Canyon County (208) 505-2628
MRS. PATRICIA K AGGERS PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9850 W ST LUKES DR
NAMPA, ID 83687
Canyon County (208) 205-7394
SUDHA SUBRAMANYAM MD
Family Medicine
9850 W ST LUKES DR
NAMPA, ID 83687
Canyon County (208) 205-7282
KATYLYNN ANN DIZDAREVIC-MILLER MD
Family Medicine
9850 W ST LUKES DR
NAMPA, ID 83687
Canyon County (208) 463-7300
CHARLES CLARK III MD
Orthopaedic Surgery
9850 W ST LUKES DR
NAMPA, ID 83687
Canyon County (208) 706-2663

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 Michael Philip Gilliam's NPI number?

The NPI number for Michael Philip Gilliam is 1487587481. It was assigned to this individual provider in the NPPES registry on June 8, 2026.

Where is Michael Philip Gilliam located?

Michael Philip Gilliam practices at 9850 W St Lukes Dr, Nampa, ID 83687. The listed phone number is (208) 205-7820.

What is Michael Philip Gilliam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Michael Philip Gilliam was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.