EVAN ASHLEY GILLO (PA-C) – Physician Assistant, NPI 1013225549

EVAN ASHLEY GILLO (PA-C) is a healthcare provider. based in South haven, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601005861 (MI). The NPI Number for EVAN ASHLEY GILLO (PA-C) is 1013225549

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
EVAN ASHLEY GILLO (PA-C)
NPI
1013225549
Phone
(269) 637-5271
Address
955 S BAILEY AVE
Enumeration Date
17 September 2010
Last Update Date
17 September 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7347123456
Graduation Year
2010 (16 years ago)
PAC ID
9537342795
Group Practice PAC ID
3779489281
Professional Enrollment ID
I20110324000839
Address ID
MI481971051YP5301XDRXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for EVAN ASHLEY GILLO (PA-C)

  • 955 S BAILEY AVE

    SOUTH HAVEN, MI 490909701

    Phone: (269) 637-5271

    Fax: (269) 639-2919

    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: 2011-03-24

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
I20110324000839IPhysician AssistantMITBD

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
99285Emergency department visit with high level of medical decision making5554$0
99284Emergency department visit with moderate level of medical decision making2019$0
View full utilization report →

Insurance plans in this area (ZIP 49090)

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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: 3779489281View full group profile

Reviews

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Frequently asked questions

Can I verify EVAN ASHLEY GILLO (PA-C) with an NPI only?
You can start verification with NPI 1013225549 for EVAN ASHLEY GILLO (PA-C), then check state licensing separately.
Can I rely on EVAN ASHLEY GILLO (PA-C) being an active provider?
As of the registry snapshot, EVAN ASHLEY GILLO (PA-C) is marked active.
What healthcare role does EVAN ASHLEY GILLO (PA-C) hold?
Scheduling teams often label EVAN ASHLEY GILLO (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect EVAN ASHLEY GILLO (PA-C) on a map?
Expect South Haven, Michigan as a primary anchor for EVAN ASHLEY GILLO (PA-C) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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