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DR. HOLLY CATHERINE GILLIS MD
NPI 1609119015
Pediatrics - Pediatric Critical Care Medicine in Minneapolis, MN

Active since April 03, 2013PECOS EnrolledAccepts Medicare Assignment
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(608) 335-2086 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 1, 2025, May 7, 2025, Feb 20, 2025 and 2 more (5 updates tracked since 2016).

About Dr. Holly Catherine Gillis Md NPPES

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

DR. HOLLY CATHERINE GILLIS MD (NPI 1609119015) is an individual pediatric critical care medicine provider in Minneapolis, Minnesota, licensed in Minnesota (58934) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1609119015
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameDR. HOLLY CATHERINE GILLISCredential: MD
Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450
Mailing Address2450 Riverside AveMinneapolis, MN 55454-1450
Phone(608) 335-2086
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateApril 3, 2013
Last NPPES UpdateJuly 1, 20255 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1609119015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in MN · 58934
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 35.130748 (OH)
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 35.130748 (OH)
Also ListedAnesthesiology · Pediatric AnesthesiologyTaxonomy 207LP3000X · License 58934 (MN), 35.130748 (OH)
2450 RIVERSIDE AVE, Minneapolis, MN 55454
Open in Google Maps ↗

Other Identifiers 1

Medicaid0112389OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Medica, Sanford Health Plan.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. Holly Catherine Gillis Md 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 ID7315243631
PECOS Enrollment IDI20240322002683, I20250515001748
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.

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

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.

MICHELLE IRENE GRAY
Rehabilitation Practitioner
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
DR. KATHLEEN F SADAK MD
Pediatrics
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-6402
DR. ADMATHA MUTHYALA WINFRED MD
Internal Medicine (Geriatric Medicine)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
KELLY SCHELLER WILLIAMS
Dietitian, Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-3216
MRS. MARY SUSAN CLIPP CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 365-3100
DANIEL TESFAYE KEBED MD
Internal Medicine
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MS. CHELSEA ANJELICA MIELKE PA-C
Physician Assistant
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MRS. JESSICA LYNN MCADAM
Nurse Anesthetist, Certified Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-8383

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 Holly Gillis's NPI number?

The NPI number for Holly Gillis is 1609119015. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Where is Holly Gillis located?

Holly Gillis practices at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (608) 335-2086.

What is Holly Gillis's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Holly Gillis enrolled in Medicare?

Yes. Holly Gillis 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 Holly Gillis accept?

Health plans from CareSource, Medica and Sanford Health Plan list Holly 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.

Is Holly Gillis affiliated with any hospitals?

According to CMS data, Holly Gillis is affiliated with M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Holly Gillis was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.