DR. NICKOLAS JOHN GILLETTE D.O.
NPI 1598074353
Family Medicine in Hannibal, MO

Q: What is Nickolas Gillette's NPI number?

The NPI number for Nickolas Gillette is 1598074353. It was assigned to this individual provider in the NPPES registry on September 28, 2010.

Q: What is Nickolas Gillette's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nickolas Gillette was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 28, 2010PECOS EnrolledAccepts Medicare Assignment

100 MEDICAL DR, HANNIBAL, MO 63401(573) 221-5250(573) 231-3716 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2026, Sep 12, 2025, Mar 20, 2025 (3 updates tracked since 2025).

On this page

About Dr. Nickolas John Gillette D.o. NPPES

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

DR. NICKOLAS JOHN GILLETTE D.O. (NPI 1598074353) is an individual family medicine provider in Hannibal, Missouri, licensed in Missouri (2010019755) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and maintains a secondary practice location in Quincy.

NPPES Registry Identity

NPI1598074353

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. NICKOLAS JOHN GILLETTECredential: D.O.

Location Address100 MEDICAL DRHannibal, MO 63401-6877

Mailing Address1005 Broadway StQuincy, IL 62301-2834 · (217) 223-8400 · Fax (217) 277-3960

Phone(573) 221-5250

Fax(573) 231-3716

Sole ProprietorNo

Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2009

Enumeration DateSeptember 28, 2010

Last NPPES UpdateApril 16, 20263 updates tracked since enumeration

NPPES CertifiedApril 16, 2026

✔ NPI 1598074353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MO · 2010019755✔ Licensed in IL · 036141680

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

100 MEDICAL DR, Hannibal, MO 63401

Open in Google Maps ↗

Secondary Practice Location 1

Location 11005 Broadway StQuincy, IL 62301-2834 · Phone (217) 223-8400 · Fax (217) 214-5837

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Dr. Nickolas John Gillette D.o. 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 ID1658543160

PECOS Enrollment IDI20161116000945

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.

Hospital Affiliations CMS Care Compare

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

Blessing Hospital

Acute Care Hospitals · Quincy, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140015

Location1005 Broadway StQuincy, IL 62301 · Adams County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63401 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

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers11 claims11 services$119.60 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 20

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

BLESSING HOSPITAL

Pharmacy (Community/Retail Pharmacy)