JESSICA LOUISE GILLIAM (FNP) – Registered Nurse, NPI 1356932446

JESSICA LOUISE GILLIAM (FNP) is a healthcare provider. based in Indianapolis, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. APRN-215721 (MT). The NPI Number for JESSICA LOUISE GILLIAM (FNP) is 1356932446

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA LOUISE GILLIAM (FNP)
NPI
1356932446
Phone
(317) 429-0120
Address
9365 COUNSELORS ROW STE 210
Enumeration Date
1 February 2021
Last Update Date
6 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8663892727
Graduation Year
2020 (6 years ago)
PAC ID
5991109654
Group Practice PAC ID
8921437427
Professional Enrollment ID
I20241031001189
Address ID
TX786647428RO1855XRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:5State licenses:12Digital endpointsOther names

8,191 NURSE PRACTITIONER in IN

Provider Addresses for JESSICA LOUISE GILLIAM (FNP)

  • 9365 COUNSELORS ROW STE 210

    INDIANAPOLIS, IN 462406418

    Phone: (317) 429-0120

    Fax: (317) 800-7730

    Type: Mailing

  • 1466 W OAK ST

    ZIONSVILLE, IN 460771800

    Phone:

    Type: Mailing

  • 9033 N MIAMI RIDGE RD

    COLUMBUS, IN 472014675

    Phone: (812) 341-6634

    Type: Location

  • 1466 W Oak St

    Zionsville, IN 460771800

    Phone: (866) 389-2727

    Fax: (317) 800-7730

    Type: Location

  • PO BOX 143

    TAYLORSVILLE, IN 472800143

    Phone:

    Type: Mailing

  • 2329 N MARR RD

    COLUMBUS, IN 472033445

    Phone: (812) 378-4511

    Type: Location

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: 2025-07-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 10 Medicare enrollment records; no due dates published yet.

Enrollment records

10

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
I20210803003262INurse PractitionerINTBD
I20241024000998INurse PractitionerCATBD
I20241024001915INurse PractitionerAZTBD
I20241024002967INurse PractitionerUTTBD
I20241024003292INurse PractitionerWATBD
I20241031000791INurse PractitionerNMTBD
I20241031001189INurse PractitionerTXTBD
I20250328001916INurse PractitionerOKTBD
I20250604001851INurse PractitionerCOTBD
I20250710002629INurse PractitionerTNTBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes6754$0
99497Advance care planning, first 30 minutes1818$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1515$0
View full utilization report →

Insurance plans in this area (ZIP 46240)

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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: 8921437427View full group profile
NameSpecialtyState
Nurse PractitionerRI
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTN
Nurse PractitionerLA
Clinical Social WorkerTX
Nurse PractitionerTX
Nurse PractitionerMS

Reviews

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Frequently asked questions

What unique ID ties claims to JESSICA LOUISE GILLIAM (FNP)?
NPI 1356932446 is assigned to JESSICA LOUISE GILLIAM (FNP) under the national enumeration system.
Is JESSICA LOUISE GILLIAM (FNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JESSICA LOUISE GILLIAM (FNP) work in?
You can think of JESSICA LOUISE GILLIAM (FNP) as practicing within Registered Nurse. Clinical services aligned with this taxonomy classification.
Where does public data place JESSICA LOUISE GILLIAM (FNP)?
The snapshot lists Indianapolis, Indiana for JESSICA LOUISE GILLIAM (FNP); download NPPES for the complete set.
What if Indianapolis, Indiana seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.