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ABBY JOAN GILLILAND
NPI 1639958598
Physician Assistant in Plymouth, MN

Active since September 28, 2023PECOS Enrolled
15655 37TH AVE N STE 100, PLYMOUTH, MN 55446(612) 293-7822(612) 230-8769 Get Directions Write a Review

NPPES record last updated: June 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Abby Joan Gilliland NPPES

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

ABBY JOAN GILLILAND (NPI 1639958598) is an individual physician assistant in Plymouth, Minnesota, licensed in Minnesota (15517) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1639958598
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameABBY JOAN GILLILAND
Location Address15655 37TH AVE N STE 100Plymouth, MN 55446-4003
Mailing Address15655 37th Ave N Ste 100Plymouth, MN 55446-4003 · (612) 293-7822 · Fax (612) 230-8769
Phone(612) 293-7822
Fax(612) 230-8769
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 28, 2023
Last NPPES UpdateJune 13, 2026
NPPES CertifiedJune 13, 2026
✔ NPI 1639958598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 15517
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
15655 37TH AVE N STE 100, Plymouth, MN 55446
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abby Joan Gilliland is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315443942
PECOS Enrollment IDI20251002002721
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55446 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 16

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

MITTAL DERMATOLOGY PA
Dermatology
15655 37TH AVE N STE 100
PLYMOUTH, MN 55446
Hennepin County (630) 632-2648
MR. MANCEL TALCOTT MITCHELL III M.D.
Family Medicine
15655 37TH AVE N STE 100
PLYMOUTH, MN 55446
Hennepin County (763) 587-7900
CRISTEN JAYNE SINGER
Nurse Practitioner (Women's Health)
15655 37TH AVE N STE 100
PLYMOUTH, MN 55446
Hennepin County (763) 587-7900
ALEXANDRA TSVILINA MD, PHD
Family Medicine
15655 37TH AVE N STE 100
PLYMOUTH, MN 55446
Hennepin County (763) 587-7900
SALLY H ENGEBRETSON DO
Internal Medicine
15655 37TH AVE N STE 100
PLYMOUTH, MN 55446
Hennepin County (763) 587-7900
NORTH CLINIC, PA
Family Medicine
15655 37TH AVE N STE 100
PLYMOUTH, MN 55446
Hennepin County (763) 587-7900
PAMELA S JAWORSKI M.D.
Family Medicine
15655 37TH AVE N STE 100
PLYMOUTH, MN 55446
Hennepin County (763) 587-7900
KRISTIN M EGAN PA-C
Physician Assistant
15655 37TH AVE N STE 100
PLYMOUTH, MN 55446
Hennepin County (763) 587-7900

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 Abby Gilliland's NPI number?

The NPI number for Abby Gilliland is 1639958598. It was assigned to this individual provider in the NPPES registry on September 28, 2023.

Where is Abby Gilliland located?

Abby Gilliland practices at 15655 37th Ave N Ste 100, Plymouth, MN 55446. The listed phone number is (612) 293-7822.

What is Abby Gilliland's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Abby Gilliland enrolled in Medicare?

Yes. Abby Gilliland is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Abby Gilliland was last updated on June 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.