JAMES P GILLIGAN MSN, ACNP-BC
NPI 1578871026
Nurse Practitioner - Acute Care in Phoenix, AZ

Active since September 17, 2010PECOS EnrolledAccepts Medicare Assignment
78.58/100
CMS Quality Rating
9200 N CENTRAL AVE STE 2, PHOENIX, AZ 85020(480) 999-4954 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2025, Aug 20, 2024, Sep 8, 2020 (3 updates tracked since 2020).

About James P Gilligan Msn, Acnp-bc NPPES

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

JAMES P GILLIGAN MSN, ACNP-BC (NPI 1578871026) is an individual acute care provider in Phoenix, Arizona, licensed in Arizona (AP3788) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1578871026
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJAMES P GILLIGANCredential: MSN, ACNP-BC
Location Address9200 N CENTRAL AVE STE 2Phoenix, AZ 85020-2463
Mailing Address9200 N Central Ave Ste 2Phoenix, AZ 85020-2463 · (480) 999-4954
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 17, 2010
Last NPPES UpdateFebruary 20, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2026
NPI 1578871026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in AZ · AP3788
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN113582 (AZ)
9200 N CENTRAL AVE STE 2, Phoenix, AZ 85020

Secondary Practice Location 1

Location 19200 N Central Ave Ste 3Phoenix, AZ 85020-2463 · Phone (602) 943-9494 · Fax (602) 944-3898

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 and accepts Medicare assignment

James P Gilligan Msn, Acnp-bc 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 ID9133385289
PECOS Enrollment IDI20120718000444
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.

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
194 services69 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85020 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

78.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.05
Promoting Interoperability100
Improvement Activities40
Cost59.56

Referred Medical Equipment & Supplies CMS DME claims 3

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
27 suppliers51 claims160 services$6.36 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
19 suppliers44 claims58 services$1.13 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers40 claims40 services$190.82 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 14

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

Physician Assistant
9200 N CENTRAL AVE STE 2
PHOENIX, AZ 85020
Nurse Practitioner (Acute Care)
9200 N CENTRAL AVE STE 2
PHOENIX, AZ 85020
Nurse Practitioner (Acute Care)
9200 N CENTRAL AVE STE 2
PHOENIX, AZ 85020
Nurse Practitioner (Acute Care)
9200 N CENTRAL AVE STE 2
PHOENIX, AZ 85020
Internal Medicine (Pulmonary Disease)
9200 N CENTRAL AVE STE 2
PHOENIX, AZ 85020
Nurse Practitioner (Family)
9200 N CENTRAL AVE STE 2
PHOENIX, AZ 85020
Nurse Practitioner (Family)
9200 N CENTRAL AVE STE 2
PHOENIX, AZ 85020
Nurse Practitioner (Acute Care)
9200 N CENTRAL AVE STE 2
PHOENIX, AZ 85020

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 James Gilligan's NPI number?

The NPI number for James Gilligan is 1578871026. It was assigned to this individual provider in the NPPES registry on September 17, 2010.

Where is James Gilligan located?

James Gilligan practices at 9200 N Central Ave Ste 2, Phoenix, AZ 85020. The listed phone number is (480) 999-4954.

What is James Gilligan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is James Gilligan enrolled in Medicare?

Yes. James Gilligan 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.

What insurance does James Gilligan accept?

Health plans from Blue Cross Blue Shield of Arizona list James Gilligan 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 James Gilligan was last updated on February 20, 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.