NICOLE GELLATLY (FNP) – Family Nurse Practitioner, NPI 1831427467

NICOLE GELLATLY (FNP) is a healthcare provider. based in Quincy, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. A103901 (IA). The NPI Number for NICOLE GELLATLY (FNP) is 1831427467

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE GELLATLY (FNP)
NPI
1831427467
Phone
(217) 223-1200
Address
1005 BROADWAY ST
Enumeration Date
19 November 2009
Last Update Date
1 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2172149626
Graduation Year
2009 (17 years ago)
PAC ID
2860533148
Group Practice PAC ID
3072422534
Professional Enrollment ID
I20240403002225
Address ID
IL623017431QU420XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:16State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for NICOLE GELLATLY (FNP)

  • 1005 BROADWAY ST

    QUINCY, IL 623012834

    Phone: (217) 223-1200

    Type: Mailing

  • 5409 Avenue O

    Fort Madison, IA 526279601

    Phone: (319) 376-2134

    Fax: (319) 376-2188

    Type: Location

  • Fort Madison Community Hospital Physician & Professional Offices, 5409, Avenue O, Fort Madison, Lee County, Iowa, 52627, United States

    PO BOX 1470

    FORT MADISON, IA 526279601

    Phone: (319) 376-2134

    Fax: (319) 376-2188

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-04-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100108000434INurse PractitionerIATBD
I20240403002225INurse PractitionerILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4645$0
99284Emergency department visit with moderate level of medical decision making3636$0
99285Emergency department visit with high level of medical decision making3535$0
99203New patient office or other outpatient visit, 30-44 minutes2727$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus2323$0
View full utilization report →

Insurance plans in this area (ZIP 62301)

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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: 3072422534View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIL
Nurse PractitionerIL
N E U R O L O G YMI
Radiation OncologyIL
Nurse PractitionerIL
Nurse PractitionerIL
Pain Management, AnesthesiologyIL
Family Practice, Emergency MedicineIL
Nurse PractitionerIL
Family PracticeIL

Reviews

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Frequently asked questions

What NPI should I save for NICOLE GELLATLY (FNP)?
Save NPI 1831427467 if you need a stable reference for NICOLE GELLATLY (FNP).
Is NICOLE GELLATLY (FNP) active in the national directory?
NICOLE GELLATLY (FNP)'s public NPI profile is in an active state.
What field does NICOLE GELLATLY (FNP) work in?
You can think of NICOLE GELLATLY (FNP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for NICOLE GELLATLY (FNP)?
The page summarizes Quincy, Illinois for NICOLE GELLATLY (FNP); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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