MRS. DONNA JEAN GILLIAM (NP) – Acute Care Nurse Practitioner, NPI 1114170685

MRS. DONNA JEAN GILLIAM (NP) is a healthcare provider. based in Sterling heights, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704168694 (MI). The NPI Number for MRS. DONNA JEAN GILLIAM (NP) is 1114170685

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DONNA JEAN GILLIAM (NP)
NPI
1114170685
Phone
(586) 979-5100
Address
37450 DEQUINDRE RD
Enumeration Date
28 October 2008
Last Update Date
12 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4017690800
Graduation Year
2000 (26 years ago)
PAC ID
9739235391
Group Practice PAC ID
1951676568
Professional Enrollment ID
I20240828004016
Address ID
RI028955635WO560XXRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for MRS. DONNA JEAN GILLIAM (NP)

  • Dequindre Road, Sterling Heights, Macomb County, Michigan, 48092, United States

    STERLING HEIGHTS, MI 483103503

    Phone: (586) 979-5100

    Type: Location

  • 222 MERCHANDISE MART PLZ STE 1230

    CHICAGO, IL 606544342

    Phone: (800) 411-6768

    Type: Location

  • 9381, Horsemill Road, Grosse Ile Township, Wayne County, Michigan, 48138, United States

    GROSSE ILE, MI 481381220

    Phone: (734) 895-5433

    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: 2024-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 8 Medicare enrollment records; no due dates published yet.

Enrollment records

8

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
I20090923000247INurse PractitionerMITBD
I20230228002288INurse PractitionerFLTBD
I20230429000066INurse PractitionerINTBD
I20230718000313INurse PractitionerSCTBD
I20240521000631INurse PractitionerTXTBD
I20240521001274INurse PractitionerPATBD
I20240524001897INurse PractitionerKYTBD
I20240828004016INurse PractitionerRITBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes138130$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes7673$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes4646$0
View full utilization report →

Insurance plans in this area (ZIP 48310)

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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: 1951676568View full group profile

Reviews

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Frequently asked questions

Can I cross-check MRS. DONNA JEAN GILLIAM (NP) using NPI 1114170685?
NPI 1114170685 belongs to MRS. DONNA JEAN GILLIAM (NP); compare other details if you need extra assurance.
Active or inactive — what applies to MRS. DONNA JEAN GILLIAM (NP)?
You should see MRS. DONNA JEAN GILLIAM (NP) as active in CMS-hosted NPPES data.
What area of care is associated with MRS. DONNA JEAN GILLIAM (NP)?
MRS. DONNA JEAN GILLIAM (NP)'s record emphasizes Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Michigan is MRS. DONNA JEAN GILLIAM (NP) registered?
Use Sterling Heights, Michigan as the headline location for MRS. DONNA JEAN GILLIAM (NP) here.
When was this NPI issued?
Enumeration for MRS. DONNA JEAN GILLIAM (NP) is noted as October 28, 2008 where the registry provides it.

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