HANNAH GILLESPIE – Family Medicine Physician, NPI 1073259867

HANNAH GILLESPIE is a healthcare provider. based in Wichita, Kansas. specializing in FAMILY PRACTICE. They hold a License No. 94-10917 (KS). The NPI Number for HANNAH GILLESPIE is 1073259867

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
HANNAH GILLESPIE
NPI
1073259867
Phone
(316) 689-5500
Address
1121 S CLIFTON AVE
Enumeration Date
5 May 2022
Last Update Date
4 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7854626184
Graduation Year
2022 (4 years ago)
PAC ID
3375924020
Group Practice PAC ID
8729996467
Professional Enrollment ID
I20240819002969
Address ID
KS677013716CO310XXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,421 FAMILY PRACTICE in KS

Provider Addresses for HANNAH GILLESPIE

  • 1121 S CLIFTON AVE

    WICHITA, KS 672182912

    Phone: (316) 689-5500

    Mailing address matches the actual address.

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: 2024-08-19

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
I20240819002969IFamily PracticeKSTBD

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 67218)

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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: 8729996467View full group profile
NameSpecialtyState
Family PracticeMO
Family PracticeKS
P O D I A T R YNE
Nurse PractitionerKS
Clinical Social WorkerKS
Family Practice, Obstetrics/GynecologyKS
Family PracticeKS
Family PracticeKS
Family PracticeKS
Nurse PractitionerKS

Reviews

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Frequently asked questions

Can I cross-check HANNAH GILLESPIE using NPI 1073259867?
NPI 1073259867 belongs to HANNAH GILLESPIE; compare other details if you need extra assurance.
Would HANNAH GILLESPIE appear as active to a payer?
You can treat HANNAH GILLESPIE as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for HANNAH GILLESPIE?
At a glance, HANNAH GILLESPIE is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is HANNAH GILLESPIE associated with Wichita?
Public fields place HANNAH GILLESPIE around Wichita, Kansas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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