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

Q: 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.

Q: 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.

Q: 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.

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: August 16, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.