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MRS. LATRICE MARIE GILLIS PMHNP
NPI 1891407185
Nurse Practitioner - Psychiatric/Mental Health in Tonawanda, NY

Active since December 19, 2022PECOS Enrolled
72 EVERGREEN DR, TONAWANDA, NY 14150(716) 799-2063 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Latrice Marie Gillis Pmhnp NPPES

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

MRS. LATRICE MARIE GILLIS PMHNP (NPI 1891407185) is an individual psychiatric/mental health provider in Tonawanda, New York, licensed in New York (404533) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1891407185
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. LATRICE MARIE GILLISCredential: PMHNP
Location Address72 EVERGREEN DRTonawanda, NY 14150-6402
Mailing Address72 Evergreen DrTonawanda, NY 14150-6402 · (716) 799-2063
Phone(716) 799-2063
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 19, 2022
NPPES CertifiedDecember 19, 2022
✔ NPI 1891407185 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 NY · 404533
72 EVERGREEN DR, Tonawanda, NY 14150
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Latrice Marie Gillis Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810347887
PECOS Enrollment IDI20240103002419
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.

Medicare Billing Reassignment

Medicare enrollment records show Latrice Gillis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Provider Profile
6.2 mi
Psychiatry
5904 SHERIDAN DR, STE 1
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 22 clinicians in this Medicare group
NPI 1013038785 (716) 886-5493

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.
91 services30 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.
30 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14150 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Latrice Gillis's NPI number?

The NPI number for Latrice Gillis is 1891407185. It was assigned to this individual provider in the NPPES registry on December 19, 2022.

Where is Latrice Gillis located?

Latrice Gillis practices at 72 Evergreen Dr, Tonawanda, NY 14150. The listed phone number is (716) 799-2063.

What is Latrice Gillis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Latrice Gillis enrolled in Medicare?

Yes. Latrice Gillis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Latrice Gillis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Latrice Gillis reassigns Medicare benefits to (Williamsville, NY). The 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 Latrice Gillis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Latrice Gillis was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.