EMILY RENAE GILLETTE (OD) – Optometrist, NPI 1386027241

EMILY RENAE GILLETTE (OD) is a healthcare provider. based in Rockford, Michigan. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4901004898 (MI). The NPI Number for EMILY RENAE GILLETTE (OD) is 1386027241

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
EMILY RENAE GILLETTE (OD)
NPI
1386027241
Phone
(810) 814-1266
Address
220 MARCELL DR NE APT 2
Enumeration Date
9 July 2015
Last Update Date
9 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7344275200
Graduation Year
2015 (11 years ago)
PAC ID
7911214309
Group Practice PAC ID
9931194149
Professional Enrollment ID
I20150917000759
Address ID
MI481856215WE35184PKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

Provider Addresses for EMILY RENAE GILLETTE (OD)

  • 220 MARCELL DR NE APT 2

    ROCKFORD, MI 493411375

    Phone: (810) 814-1266

    Type: Mailing

  • 5100 28TH ST SE

    GRAND RAPIDS, MI 495122049

    Phone: (616) 233-4403

    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: 2015-09-17

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
I20150917000759IOptometryMITBD

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
92014Established patient complete exam of visual system2525$0
View full utilization report →

Insurance plans in this area (ZIP 49341)

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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: 9931194149View full group profile

Reviews

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Frequently asked questions

Can I cross-check EMILY RENAE GILLETTE (OD) using NPI 1386027241?
NPI 1386027241 belongs to EMILY RENAE GILLETTE (OD); compare other details if you need extra assurance.
Active or inactive — what applies to EMILY RENAE GILLETTE (OD)?
You should see EMILY RENAE GILLETTE (OD) as active in CMS-hosted NPPES data.
How would a patient describe EMILY RENAE GILLETTE (OD)'s focus?
For EMILY RENAE GILLETTE (OD), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Where in Michigan is EMILY RENAE GILLETTE (OD) registered?
Use Rockford, Michigan as the headline location for EMILY RENAE GILLETTE (OD) here.
Does EMILY RENAE GILLETTE (OD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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