DARNELLE GILLOT FNP
NPI 1972283224
Nurse Practitioner - Family in Toms River, NJ
About Darnelle Gillot Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DARNELLE GILLOT FNP (NPI 1972283224) is an individual family provider in Toms River, New Jersey, licensed in New Jersey (26NJ14871100) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Darnelle Gillot Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Darnelle Gillot reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Toms River, NJ 08755
- Reassigned Medicare billing, New Jersey enrollment
- 130 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Community Medical Center
Acute Care Hospitals · Toms River, NJMonmouth Medical Center-Southern Campus
Acute Care Hospitals · Lakewood, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08755 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TOMS RIVER, NJ 08755
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 Darnelle Gillot's NPI number?
The NPI number for Darnelle Gillot is 1972283224. It was assigned to this individual provider in the NPPES registry on July 21, 2023.
Where is Darnelle Gillot located?
Darnelle Gillot practices at 10 Stockton Dr, Toms River, NJ 08755. The listed phone number is (732) 363-6655.
What is Darnelle Gillot's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Darnelle Gillot enrolled in Medicare?
Yes. Darnelle Gillot is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Darnelle Gillot's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Darnelle Gillot reassigns Medicare benefits to Ocean Health Initiatives, Inc (Toms River, NJ). 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 Darnelle Gillot's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Darnelle Gillot accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Darnelle Gillot as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Darnelle Gillot affiliated with any hospitals?
According to CMS data, Darnelle Gillot is affiliated with Community Medical Center and Monmouth Medical Center-Southern Campus.
When was this NPI record last updated?
The NPPES record for Darnelle Gillot was last updated on July 21, 2023. 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.
# Darnelle Gillot, FNP · NPI 1972283224
Family physician in Toms River, New Jersey. Individual provider, active in the CMS NPPES registry since July 21, 2023.
## Identity
- **NPI:** 1972283224 (Entity type: Individual)
- **Enumerated:** July 21, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ14871100 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10 STOCKTON DR, Toms River, NJ 08755-6433
- **Phone:** (732) 363-6655
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ocean Health Initiatives, Inc (NPI 1417938044, Toms River, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1972283224) · Data from the CMS NPPES public registry.