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NEVIN GILLIS MD
NPI 1639758980
General Practice in St John, ND

Active since April 05, 2021PECOS EnrolledAccepts Medicare Assignment
128 FOUSSARD AVE NW, ST JOHN, ND 58369(701) 477-3111 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 6, 2023, Apr 5, 2021 (2 updates tracked since 2021).

About Nevin Gillis Md NPPES

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

NEVIN GILLIS MD (NPI 1639758980) is an individual general practice provider in St John, North Dakota, licensed in North Dakota (19747) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of University Of North Dakota School Of Medicine (2021).

NPPES Registry Identity

NPI1639758980
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameNEVIN GILLISCredential: MD
Location Address128 FOUSSARD AVE NWSt John, ND 58369
Mailing Address104 Main StTurtle Lake, ND 58575-4001 · (877) 609-3577
Phone(701) 477-3111
Sole ProprietorYes
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2021
Enumeration DateApril 5, 2021
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
✔ NPI 1639758980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in ND · 19747
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

128 FOUSSARD AVE NW, St John, ND 58369
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota.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

Nevin 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 ID1052767399
PECOS Enrollment IDI20240522002311
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.

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.
64 services48 patients

Other Providers at the Same Location NPPES

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

NORTHLAND HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
128 FOUSSARD AVE NW
ST JOHN, ND 58369
Rolette County (701) 448-2054

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 Nevin Gillis's NPI number?

The NPI number for Nevin Gillis is 1639758980. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Nevin Gillis located?

Nevin Gillis practices at 128 Foussard Ave NW, St John, ND 58369. The listed phone number is (701) 477-3111.

What is Nevin Gillis's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Nevin Gillis enrolled in Medicare?

Yes. Nevin 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 Nevin Gillis accept?

Health plans from Blue Cross Blue Shield of North Dakota list Nevin 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.

When was this NPI record last updated?

The NPPES record for Nevin Gillis was last updated on September 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.