NADIA BRONTE CHURCHILL-GILSTRAP MD
NPI 1790301356
Family Medicine in Edgerton, WI

Q: What is Nadia Churchill-gilstrap's NPI number?

The NPI number for Nadia Churchill-gilstrap is 1790301356. It was assigned to this individual provider in the NPPES registry on June 19, 2020.

Q: What is Nadia Churchill-gilstrap's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 19, 2020PECOS EnrolledAccepts Medicare Assignment

98.84/100

CMS Quality Rating

11051 N SHERMAN RD, EDGERTON, WI 53534(608) 884-3354(608) 884-5022 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 5, 2022, Jun 19, 2020 (2 updates tracked since 2020).

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About Nadia Bronte Churchill-gilstrap Md NPPES

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

NADIA BRONTE CHURCHILL-GILSTRAP MD (NPI 1790301356) is an individual family medicine provider in Edgerton, Wisconsin, licensed in Michigan (4351047048) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Fort Memorial Hospital, and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1790301356

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameNADIA BRONTE CHURCHILL-GILSTRAPCredential: MD

Location Address11051 N SHERMAN RDEdgerton, WI 53534-9002

Mailing Address11051 N Sherman RdEdgerton, WI 53534-9002 · (608) 884-3354 · Fax (608) 884-5022

Phone(608) 884-3354

Fax(608) 884-5022

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 19, 2020

Last NPPES UpdateSeptember 15, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2023

✔ NPI 1790301356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MI · 4351047048✔ Licensed in WI · 82468

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11051 N SHERMAN RD, Edgerton, WI 53534

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Secondary Practice Location 1

Location 1300 Lafayette Ave SE Ste 4000Grand Rapids, MI 49503-4692 · Phone (616) 685-6922

Other Identifiers 1

Medicaid1790301356WI

Accepted Insurance

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

Nadia Bronte Churchill-gilstrap 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 ID9638592645

PECOS Enrollment IDI20230925000823

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 7

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

254 services113 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

208 services79 patients

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.

55 services44 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

50 services50 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

26 services16 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

17 services17 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number520071

Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County

Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520083

Location700 South Park StMadison, WI 53715 · Dane County

Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Janesville

Acute Care Hospitals · Janesville, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number520208

Location3400 East Racine StreetJanesville, WI 53546 · Rock County

Emergency services Birthing friendly

Edgerton Hospital And Health Services

Critical Access Hospitals · Edgerton, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521319

Location11101 N Sherman RoadEdgerton, WI 53534 · Rock County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53534 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.89

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 12

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

DEAN HEALTH SYSTEMS, INC.

Durable Medical Equipment & Medical Supplies