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MRS. LUCINDA LOU KIL GILLIS N.P.
NPI 1639908601
Nurse Practitioner - Psychiatric/Mental Health in South Bend, IN

Active since July 29, 2024PECOS EnrolledAccepts Medicare Assignment
17434 STATE ROAD 23, SOUTH BEND, IN 46635(574) 329-0241(574) 272-6429 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 11, 2026, Nov 19, 2024, Jul 29, 2024 (3 updates tracked since 2024).

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

NPI1639908601
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. LUCINDA LOU KIL GILLISCredential: N.P.
Location Address17434 STATE ROAD 23South Bend, IN 46635-1743
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380
Phone(574) 329-0241
Fax(574) 272-6429
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 29, 2024
Last NPPES UpdateMarch 11, 20263 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1639908601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IN · 71015554A
17434 STATE ROAD 23, South Bend, IN 46635
Open in Google Maps ↗

Other Names 1

Former Name (1)Lucinda Lou Kil R.n., J.d.

Other Identifiers 1

Medicaid300098665IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

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.

PECOS PAC ID2668906371
PECOS Enrollment IDI20241126001134
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.

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Physician 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.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

GILLIS PSYCHIATRY LLC
Nurse Practitioner (Psychiatric/Mental Health)
17434 STATE ROAD 23
SOUTH BEND, IN 46635
St. Joseph County (574) 272-6406
MARGARET ANNE GILLIS RN
Registered Nurse
17434 STATE ROAD 23
SOUTH BEND, IN 46635
St. Joseph County (574) 485-0087

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.

What insurance does Lucinda Gillis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare 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 5 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.