JESSICA ANNE MCGILLIS (MSN-FNP-BC) – Family Nurse Practitioner, NPI 1104688423

JESSICA ANNE MCGILLIS (MSN-FNP-BC) is a healthcare provider. based in Alma, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN-FNP-BC. They hold a License No. 4704344673 (MI). The NPI Number for JESSICA ANNE MCGILLIS (MSN-FNP-BC) is 1104688423

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA ANNE MCGILLIS (MSN-FNP-BC)
NPI
1104688423
Phone
Not provided
Address
146 S STATE ST
Enumeration Date
24 January 2024
Last Update Date
24 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9897731166
Graduation Year
2023 (3 years ago)
PAC ID
3072057405
Group Practice PAC ID
6103733092
Professional Enrollment ID
I20240626004076
Address ID
MI488584230MT1523XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for JESSICA ANNE MCGILLIS (MSN-FNP-BC)

  • 146 S STATE ST

    ALMA, MI 488012352

    Phone:

    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: 2024-06-26

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
I20240626004076INurse PractitionerMITBD

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 48801)

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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: 6103733092View full group profile
NameSpecialtyState
General SurgeryMI
Nurse PractitionerMI
Physician AssistantMI
U R O L O G YTN
Nurse PractitionerMI
-MI
Internal MedicineMI
Family PracticeMI
Infectious Disease, Internal MedicineMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

How do I look up JESSICA ANNE MCGILLIS (MSN-FNP-BC) by NPI?
Use NPI 1104688423 when you need to reference JESSICA ANNE MCGILLIS (MSN-FNP-BC) in forms, claims, or directories.
Is JESSICA ANNE MCGILLIS (MSN-FNP-BC) currently active in the NPI registry?
CMS-published data lists JESSICA ANNE MCGILLIS (MSN-FNP-BC) as an active registrant.
What field does JESSICA ANNE MCGILLIS (MSN-FNP-BC) work in?
You can think of JESSICA ANNE MCGILLIS (MSN-FNP-BC) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for JESSICA ANNE MCGILLIS (MSN-FNP-BC)?
We surface Alma, Michigan for JESSICA ANNE MCGILLIS (MSN-FNP-BC) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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