Crystal Gillis, FNP in Clinton, NC - Medicare Nurse Practitioner

Crystal Gillis, FNP is a medicare enrolled "Nurse Practitioner - Family" in Clinton, North Carolina. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Clinton Medical Clinic, Inc. and her current practice location is 403 Fairview St, Clinton, North Carolina. You can reach out to her office (for appointments etc.) via phone at (105) 929-6011.

Crystal Gillis is licensed to practice in North Carolina (license number 5012411) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548405962.

Contact Information

	Crystal Gillis, FNP
	403 Fairview St, Clinton, NC 28328-2399
	(105) 929-6011
	(910) 592-0819

Map and Direction

Provider's Profile

Full Name	Crystal Gillis
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	403 Fairview St, Clinton, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Crystal Gillis graduated from nursing school in 2019

NPI Data:

NPI Number: 1548405962
Provider Enumeration Date: 12/15/2008
Last Update Date: 07/08/2022

Medicare PECOS Information:

PECOS PAC ID: 1658797329
Enrollment ID: I20200812003491

Medical Identifiers

Medical identifiers for Crystal Gillis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548405962	NPI	-	NPPES
170713	Other	NC	NORTH CAROLINA BOARD OF NURSING
5012411	Other	NC	FAMILY NURSE PRACTITIONER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5012411 (North Carolina)	Primary
163WH1000X	Registered Nurse - Hospice	170713 (North Carolina)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
3hc	Goldsboro, NC	Home health agency
Liberty Home Care	Dunn, NC	Home health agency
Sampson Regional Medical Center	Clinton, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Clinton Medical Clinic, Inc.	6406821628	12

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Crystal Gillis allows following entities to bill medicare on her behalf.

Entity Name	Clinton Medical Clinic, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780629154 PECOS PAC ID: 6406821628 Enrollment ID: O20040831001347

Entity Name	Cmc Geriatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770138984 PECOS PAC ID: 7517399561 Enrollment ID: O20191113002988

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Gillis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Crystal Gillis, FNP 6417 Allie Cooper Rd, Godwin, NC 28344-8379 Ph: (910) 891-8369	Crystal Gillis, FNP 403 Fairview St, Clinton, NC 28328-2399 Ph: (105) 929-6011

Reviews and Comments

Nurse Practitioner Nurses in Clinton, NC

Hayley Brott, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-590-6011
Jeffrey Wayne Autry, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1004 Beamon St., Clinton, NC 28328 Phone: 910-592-9113 Fax: 910-590-0050
Sharry Jackson Malpass, DNP, NP-C, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011 Fax: 910-592-0811
Jill Anne Breton, CNM, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 360 County Complex Rd Ste 200, Clinton, NC 28328 Phone: 910-592-1131 Fax: 910-592-4724
Jamie Alysse Weiner, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011
Mrs. Lauren Elaine Aves, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011 Fax: 910-592-0811
Jennifer Danks, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1845 Keener Rd, Clinton, NC 28328 Phone: 910-990-0106

Crystal Gillis, FNP - Medicare Nurse Practitioner in Clinton, NC