JENNIFER GILLAM PMHNP-BC
NPI 1952277741
Nurse Practitioner - Psychiatric/Mental Health in Potosi, MO

Q: What is Jennifer Gillam's NPI number?

The NPI number for Jennifer Gillam is 1952277741. It was assigned to this individual provider in the NPPES registry on October 16, 2025.

Q: What is Jennifer Gillam'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 Jennifer Gillam was last updated on April 15, 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 16, 2025PECOS Enrolled

1 SOUTHTOWNE DR, POTOSI, MO 63664(573) 438-9355 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jennifer Gillam Pmhnp-bc NPPES

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

JENNIFER GILLAM PMHNP-BC (NPI 1952277741) is an individual psychiatric/mental health provider in Potosi, Missouri, licensed in Missouri (2025044228) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1952277741

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJENNIFER GILLAMCredential: PMHNP-BC

Location Address1 SOUTHTOWNE DRPotosi, MO 63664-5729

Mailing Address1 Southtowne DrPotosi, MO 63664-5729 · (573) 438-9355 · Fax (573) 438-8393

Phone(573) 438-9355

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 16, 2025

Last NPPES UpdateApril 15, 2026

NPPES CertifiedApril 15, 2026

✔ NPI 1952277741 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 MO · 2025044228

1 SOUTHTOWNE DR, Potosi, MO 63664

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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)

Jennifer Gillam Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062993496

PECOS Enrollment IDI20260224003599

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 63664 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

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.

GENOA HEALTHCARE LLC

Pharmacy (Long Term Care Pharmacy)