MRS. KRISTIN LEE GILLIS PA-C
NPI 1649608738
Physician Assistant - Surgical in Waterbury, CT

Q: What is Kristin Gillis's NPI number?

The NPI number for Kristin Gillis is 1649608738. It was assigned to this individual provider in the NPPES registry on October 29, 2013.

Q: What is Kristin Gillis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Gillis was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 29, 2013PECOS Enrolled

56 FRANKLIN ST, WATERBURY, CT 06706(203) 709-6000 Get Directions Write a Review

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

Record update history: Apr 20, 2026, Nov 12, 2021, Nov 30, 2018 and 3 more (6 updates tracked since 2016).

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About Mrs. Kristin Lee Gillis Pa-c NPPES

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

MRS. KRISTIN LEE GILLIS PA-C (NPI 1649608738) is an individual surgical provider in Waterbury, Connecticut, licensed in Connecticut (003563) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1649608738

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMRS. KRISTIN LEE GILLISCredential: PA-C

Location Address56 FRANKLIN STWaterbury, CT 06706-1253

Mailing Address56 Franklin StWaterbury, CT 06706-1253 · (203) 709-6000 · Fax (203) 741-6569

Phone(203) 709-6000

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateOctober 29, 2013

Last NPPES UpdateApril 20, 20266 updates tracked since enumeration

NPPES CertifiedApril 20, 2026

✔ NPI 1649608738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CT · 003563

Also ListedPhysician AssistantTaxonomy 363A00000X · License 003563 (CT)

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 003563 (CT)

56 FRANKLIN ST, Waterbury, CT 06706

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Secondary Practice Locations 2

Location 1237A State RdNorth Dartmouth, MA 02747-2612 · Phone (508) 996-3991

Location 275 Francis StBoston, MA 02115-6110 · Phone (617) 732-5500

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kristin Lee Gillis Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143459156

PECOS Enrollment IDI20160824000060

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 3

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.

15 services14 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

14 services13 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

13 services13 patients

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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.

CHARIS WIPFLER

Nurse Practitioner (Critical Care Medicine)