DR. LISA JANE GILLIS MD
NPI 1639680614
Medical Genetics - Clinical Genetics (M.D.) in St Petersburg, FL

Q: What is Lisa Gillis's NPI number?

The NPI number for Lisa Gillis is 1639680614. It was assigned to this individual provider in the NPPES registry on October 18, 2017.

Q: What is Lisa Gillis's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Gillis was last updated on June 20, 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.

Active since October 18, 2017PECOS EnrolledAccepts Medicare Assignment

601 5TH ST S, ST PETERSBURG, FL 33701(727) 767-8491 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2024, Nov 6, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Lisa Jane Gillis Md NPPES

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

DR. LISA JANE GILLIS MD (NPI 1639680614) is an individual clinical genetics (m.d.) provider in St Petersburg, Florida, licensed in California (C152190) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Madera, and is a graduate of Dalhousie University, Faculty Of Medicine (2003).

NPPES Registry Identity

NPI1639680614

Entity TypeIndividualFemale

Primary Taxonomy207SG0201X

Provider Legal NameDR. LISA JANE GILLISCredential: MD

Location Address601 5TH ST SSt Petersburg, FL 33701-4804

Mailing Address601 5th St SSt Petersburg, FL 33701-4804 · (727) 767-8491

Phone(727) 767-8491

Sole ProprietorNo

Medical School CMSDalhousie University, Faculty Of MedicineGraduated 2003

Enumeration DateOctober 18, 2017

Last NPPES UpdateJune 20, 20244 updates tracked since enumeration

NPPES CertifiedJune 20, 2024

✔ NPI 1639680614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians

Taxonomy Code207SG0201X

License✔ Licensed in CA · C152190

Definition

A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

601 5TH ST S, St Petersburg, FL 33701

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Secondary Practice Location 1

Location 19300 Valley Childrens Pl Ste 117Madera, CA 93636-8761 · Phone (559) 353-6400

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. Lisa Jane 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 ID9638541352

PECOS Enrollment IDI20240930002382, I20250603000138

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 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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

20%20 patients1/55-star benchmark: 97%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

SUPAMIT UKARAPONG M.D.

Pediatrics (Pediatric Endocrinology)

601 5TH ST S
ST PETERSBURG, FL 33701

Pinellas County (727) 767-3636

AIMEN ELMEHDI BEN AYAD M.D.

Pediatrics (Neonatal-Perinatal Medicine)

601 5TH ST S
SAINT PETERSBURG, FL 33701

Pinellas County (727) 767-4313

DR. JENNIFER BECK DEAN MD

Pediatrics (Pediatric Hematology-Oncology)

601 5TH ST S
ST PETERSBURG, FL 33701

Pinellas County (727) 767-4176

MRS. SHANNA ANN SHERMAN ARNP

Nurse Practitioner (Pediatrics)

601 5TH ST S, SUITE 605
ST PETERSBURG, FL 33701

Pinellas County (727) 822-4300

SHELLEY NICHOLLS APRN

Nurse Practitioner (Pediatrics)

601 5TH ST S
ST PETERSBURG, FL 33701

Pinellas County (727) 767-3636

MARY CATHERINE DORN

Nurse Anesthetist, Certified Registered

601 5TH ST S
ST PETERSBURG, FL 33701

Pinellas County (727) 898-7451

GERALD FRANCIS TUITE JR. MD

Neurological Surgery

601 5TH ST S, 5TH FLOOR
ST PETERSBURG, FL 33701

Pinellas County (727) 767-8181

DR. SCOTT D MCKINLEY DO

Pediatrics (Pediatric Pulmonology)

601 5TH ST S, STE 708 DEPT 3012
SAINT PETERSBURG, FL 33701

Pinellas County (727) 767-4146

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 Lisa Gillis's NPI number?

The NPI number for Lisa Gillis is 1639680614. It was assigned to this individual provider in the NPPES registry on October 18, 2017.

Where is Lisa Gillis located?

Lisa Gillis practices at 601 5th St S, St Petersburg, FL 33701. The listed phone number is (727) 767-8491.

What is Lisa Gillis's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Is Lisa Gillis enrolled in Medicare?

Yes. Lisa 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.

When was this NPI record last updated?

The NPPES record for Lisa Gillis was last updated on June 20, 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.