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MRS. ERIN LEIGH GILSON FNP-C
NPI 1518512441
Nurse Practitioner - Family in Newport, PA

Active since August 07, 2019PECOS EnrolledAccepts Medicare Assignment
82.54/100
CMS Quality Rating
300 BRETZ CT, NEWPORT, PA 17074(717) 567-3174 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 3, 2024, Jan 2, 2021, Jun 9, 2020 and 2 more (5 updates tracked since 2019).

About Mrs. Erin Leigh Gilson Fnp-c NPPES

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

MRS. ERIN LEIGH GILSON FNP-C (NPI 1518512441) is an individual family provider in Newport, Pennsylvania, licensed in Pennsylvania (SP020633) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Mount Nittany Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1518512441
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ERIN LEIGH GILSONCredential: FNP-C
Location Address300 BRETZ CTNewport, PA 17074-8614
Mailing Address1800 E Park AveState College, PA 16803-6701 · (814) 231-7100 · Fax (814) 238-0790
Phone(717) 567-3174
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 7, 2019
Last NPPES UpdateJune 3, 20245 updates tracked since enumeration
NPPES CertifiedJune 3, 2024
✔ NPI 1518512441 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 PA · SP020633
300 BRETZ CT, Newport, PA 17074
Open in Google Maps ↗

Other Names 1

Former Name (1)Erin Leigh Phillips Crnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Mrs. Erin Leigh Gilson 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 ID6800128620
PECOS Enrollment IDI20191029001020
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Erin Gilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pinnacle Health Medical Services
0.2 mi
Family Medicine
300 BRETZ CT, SUITE 100
Newport, PA 17074
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
NPI 1417983800 (717) 567-3174
Mount Nittany Medical Center Health Services Inc
46 mi
Internal Medicine
155 WELLNESS WAY
State College, PA 16803
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 393 clinicians in this Medicare group
NPI 1598992554 (814) 231-7000

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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
204 services173 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
87 services79 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
22 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
14 services11 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390268
Location1800 East Park AveState College, PA 16803 · Centre County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17074 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.62
Promoting Interoperability100
Improvement Activities40
Cost65.18

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers24 claims48 services$6.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

PINNACLE HEALTH MEDICAL SERVICES
Family Medicine
300 BRETZ CT, SUITE 100
NEWPORT, PA 17074
Perry County (717) 567-3174
PINNACLE HEALTH MEDICAL SERVICES
Non-Pharmacy Dispensing Site
300 BRETZ CT, SUITE 100
NEWPORT, PA 17074
Perry County (717) 567-3174
FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC
Podiatrist
300 BRETZ CT
NEWPORT, PA 17074
Perry County (717) 651-0000
MS. JULIE ANN SHERK CRNP
Nurse Practitioner (Family)
300 BRETZ CT, SUITE 100
NEWPORT, PA 17074
Perry County (717) 567-3174
DEIDANIA E ROSADO CRNP
Nurse Practitioner (Family)
300 BRETZ CT, SUITE 100
NEWPORT, PA 17074
Perry County (717) 567-3174

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 Erin Gilson's NPI number?

The NPI number for Erin Gilson is 1518512441. It was assigned to this individual provider in the NPPES registry on August 7, 2019. The provider is also known as Erin Leigh Phillips Crnp.

Where is Erin Gilson located?

Erin Gilson practices at 300 Bretz Ct, Newport, PA 17074. The listed phone number is (717) 567-3174.

What is Erin Gilson's specialty?

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

Is Erin Gilson enrolled in Medicare?

Yes. Erin Gilson 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 organizations bill Medicare for Erin Gilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erin Gilson reassigns Medicare benefits to 2 organizations: Pinnacle Health Medical Services (Newport, PA) and Mount Nittany Medical Center Health Services Inc (State College, PA). Each 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 Erin Gilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erin Gilson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Erin Gilson 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 Erin Gilson affiliated with any hospitals?

According to CMS data, Erin Gilson is affiliated with Mount Nittany Medical Center.

When was this NPI record last updated?

The NPPES record for Erin Gilson was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.