MRS. LUCINDA LOU KIL GILLIS N.P.
NPI 1639908601
Nurse Practitioner - Psychiatric/Mental Health in South Bend, IN
About Mrs. Lucinda Lou Kil Gillis N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LUCINDA LOU KIL GILLIS N.P. (NPI 1639908601) is an individual psychiatric/mental health provider in South Bend, Indiana, licensed in Indiana (71015554A) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of South Bend, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Lucinda Lou Kil Gillis N.p. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Lucinda Gillis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
South Bend, IN 46635
- Reassigned Medicare billing, Indiana enrollment
Granger, IN 46530
- Reassigned Medicare billing, Indiana enrollment
- 734 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital Of South Bend
Acute Care Hospitals · South Bend, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46635 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH BEND, IN 46635
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 Lucinda Gillis's NPI number?
The NPI number for Lucinda Gillis is 1639908601. It was assigned to this individual provider in the NPPES registry on July 29, 2024. The provider is also known as Lucinda Lou Kil R.N., J.D..
Where is Lucinda Gillis located?
Lucinda Gillis practices at 17434 State Road 23, South Bend, IN 46635. The listed phone number is (574) 329-0241.
What is Lucinda Gillis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Lucinda Gillis enrolled in Medicare?
Yes. Lucinda 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.
Which organizations bill Medicare for Lucinda Gillis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lucinda Gillis reassigns Medicare benefits to 2 organizations: Gillis Psychiatry LLC (South Bend, IN) and Beacon Medical Group, Inc. (Granger, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lucinda Gillis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lucinda Gillis accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Lucinda 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 Lucinda Gillis affiliated with any hospitals?
According to CMS data, Lucinda Gillis is affiliated with Memorial Hospital Of South Bend.
When was this NPI record last updated?
The NPPES record for Lucinda Gillis was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mrs. Lucinda Lou Kil Gillis, N.P. · NPI 1639908601
Psychiatric/Mental Health physician in South Bend, Indiana. Individual provider, active in the CMS NPPES registry since July 29, 2024.
## Identity
- **NPI:** 1639908601 (Entity type: Individual)
- **Enumerated:** July 29, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 71015554A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 17434 STATE ROAD 23, South Bend, IN 46635-1743
- **Phone:** (574) 329-0241 · **Fax:** (574) 272-6429
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Gillis Psychiatry LLC (NPI 1578428116, South Bend, IN); Beacon Medical Group, Inc. (NPI 1306899554, Granger, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** March 11, 2026
- **Other identifiers:** Medicaid 300098665 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1639908601) · Data from the CMS NPPES public registry.