MS. MARY ALYSSA GILLIS – Family Nurse Practitioner, NPI 1285082925
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for MS. MARY ALYSSA GILLIS
1201 11th Ave S
Suite 410
Birmingham, AL 352053423
Phone: (205) 939-4939
Type: Location
3654B New Hope Rd
Columbus, MS 397028521
Phone: (662) 329-1488
Fax: (662) 329-1440
Type: Location
56, Dutch Lane, Columbus, Lowndes County, Mississippi, 39702, United States
COLUMBUS, MS 397025500
Phone: (662) 329-3808
Fax: (662) 329-3873
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $202.
Total Amount is formed as General ($202) + Research ($0) + Ownership ($0) = $202.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Novo Nordisk Inc ($85).
Total Amount
$202
General + Research + Ownership
Payments
12
Total payment records
General Amount
$202
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $85 |
| AstraZeneca Pharmaceuticals LP | $56 |
| Exact Sciences Corporation | $31 |
| Seqirus USA Inc | $16 |
| Shield Therapeutics Inc | $13 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-06-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170628000824 | I | Nurse Practitioner | MS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 730 | 530 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 628 | 458 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 554 | 465 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 515 | 446 | $0 |
| 81003 | Automated urinalysis test | 464 | 391 | $0 |
Insurance plans in this area (ZIP 35205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MS | |
| Nurse Practitioner | MS | |
| - | MS | |
| Mental Health Counselor | MS | |
| Nurse Practitioner | MS | |
| Pediatric Medicine | MS | |
| - | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS |
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