KELLI GILLMAN – Nurse Practitioner, NPI 1295196251

KELLI GILLMAN is a healthcare provider. based in Mobile, Alabama. specializing in NURSE PRACTITIONER. They hold a License No. 1-132253 (AL). The NPI Number for KELLI GILLMAN is 1295196251

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KELLI GILLMAN
NPI
1295196251
Phone
(251) 432-4117
Address
1303 DR MARTIN L KING JR AVE
Enumeration Date
17 March 2016
Last Update Date
17 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2519484290
Graduation Year
2011 (15 years ago)
PAC ID
3971892332
Group Practice PAC ID
9537220397
Professional Enrollment ID
I20160525001656
Address ID
AL365423517GU156XXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for KELLI GILLMAN

  • 1303 DR MARTIN L KING JR AVE

    MOBILE, AL 366035341

    Phone: (251) 432-4117

    Fax: (251) 436-7765

    Type: Mailing

  • 1083 E RELHAM DR

    LOXLEY, AL 365512406

    Phone: (251) 964-4011

    Fax: (251) 964-4012

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $155.

Total Amount is formed as General ($155) + Research ($0) + Ownership ($0) = $155.

Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Gilead Sciences, Inc. ($60).

Total Amount

$155

General + Research + Ownership

Payments

8

Total payment records

General Amount

$155

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-05-25

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160525001656INurse PractitionerALTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36603)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537220397View full group profile
NameSpecialtyState
Physician AssistantAL
Family PracticeAL
Nurse PractitionerAL
Nurse PractitionerAL
-FL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What number should I use to identify KELLI GILLMAN for billing?
Administrative and clinical systems typically use NPI 1295196251 for KELLI GILLMAN.
Is KELLI GILLMAN's NPI status active today?
Active status means KELLI GILLMAN's NPI record is not deactivated in the public file.
What type of care does KELLI GILLMAN provide?
KELLI GILLMAN's profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit KELLI GILLMAN in Mobile, Alabama?
For routing, start with Mobile, Alabama for KELLI GILLMAN, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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