MELANIE RENEE GILLMAN (CRNP) – Adult Health Nurse Practitioner, NPI 1104339779

MELANIE RENEE GILLMAN (CRNP) is a healthcare provider. based in Harrisburg, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP018030 (PA). The NPI Number for MELANIE RENEE GILLMAN (CRNP) is 1104339779

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MELANIE RENEE GILLMAN (CRNP)
NPI
1104339779
Phone
(717) 960-8956
Address
409 S 2ND ST STE 2F
Enumeration Date
6 November 2017
Last Update Date
28 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7176573030
Graduation Year
2017 (9 years ago)
PAC ID
2961760988
Group Practice PAC ID
7618960493
Professional Enrollment ID
I20171221001021
Address ID
PA171094839HA805XXCTXX404
Telehealth
Yes

Contacts

Secure Messaging
mgillman108724@phsdirect.pinnaclehealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness95
Years active:8State licenses:1Other names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for MELANIE RENEE GILLMAN (CRNP)

  • 2, South 2nd Street, Harrisburg, Dauphin County, Pennsylvania, 17104, United States

    HARRISBURG, PA 171041612

    Phone: (717) 960-8956

    Fax: (717) 218-7557

    Type: Mailing

  • 9 BROOKWOOD AVE

    CARLISLE, PA 170159126

    Phone: (717) 243-0616

    Type: Location

  • 4315 LONDONDERRY RD

    HARRISBURG, PA 171095318

    Phone: (717) 909-0290

    Fax: (717) 909-0292

    Type: Location

  • 121 TOWNE SQUARE DR STE 303

    HERSHEY, PA 170339440

    Phone: (717) 909-0290

    Fax: (717) 909-0292

    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: 2017-12-21

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
I20171221001021INurse PractitionerPATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes5031$0
99215Established patient office or other outpatient visit, 40-54 minutes2719$0
99205New patient office or other outpatient visit, 60-74 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 17104)

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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: 7618960493View full group profile
NameSpecialtyState
Nurse PractitionerPA
Family PracticePA
-PA
Nurse PractitionerPA
-PA
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YPA
-TN
Hospitalist, Internal MedicinePA
Internal MedicinePA

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Frequently asked questions

Can I verify MELANIE RENEE GILLMAN (CRNP) with an NPI only?
You can start verification with NPI 1104339779 for MELANIE RENEE GILLMAN (CRNP), then check state licensing separately.
Does CMS list MELANIE RENEE GILLMAN (CRNP) as active?
Yes — MELANIE RENEE GILLMAN (CRNP) is active in the NPI listing used on this page.
What is MELANIE RENEE GILLMAN (CRNP)'s primary classification?
Adult Health Nurse Practitioner is the headline specialty for MELANIE RENEE GILLMAN (CRNP) here. Clinical services aligned with this taxonomy classification.
Where should I expect MELANIE RENEE GILLMAN (CRNP) on a map?
Expect Harrisburg, Pennsylvania as a primary anchor for MELANIE RENEE GILLMAN (CRNP) unless the record lists multiple sites.
Why does MELANIE RENEE GILLMAN (CRNP) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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