REBECCA R. GILLIAM (AGACNP-BC) – Gerontology Nurse Practitioner, NPI 1255735999

REBECCA R. GILLIAM (AGACNP-BC) is a healthcare provider. based in San antonio, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. AP126539 (TX). The NPI Number for REBECCA R. GILLIAM (AGACNP-BC) is 1255735999

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA R. GILLIAM (AGACNP-BC)
NPI
1255735999
Phone
(210) 661-5622
Address
7142 SAN PEDRO AVE STE 102
Enumeration Date
9 October 2014
Last Update Date
19 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2036668145
Graduation Year
2014 (12 years ago)
PAC ID
5698098192
Group Practice PAC ID
4789942335
Professional Enrollment ID
I20150107001821
Address ID
TX752013923DA325XXSTXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for REBECCA R. GILLIAM (AGACNP-BC)

  • 7142 SAN PEDRO AVE STE 102

    SAN ANTONIO, TX 782166255

    Phone: (210) 661-5622

    Fax: (210) 481-3116

    Type: Mailing

  • 731 CARNOUSTIE DR STE 102

    SAN ANTONIO, TX 782584800

    Phone: (210) 495-8280

    Fax: (210) 481-3116

    Type: Location

  • 18707 HARDY OAK BLVD STE 530

    SAN ANTONIO, TX 782584791

    Phone: (210) 495-8280

    Fax: (210) 481-3116

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-06-26 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-01-07

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
I20150107001821INurse PractitionerTXTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,429128$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes10358$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes5958$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 78216)

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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: 4789942335View full group profile
NameSpecialtyState
Psychiatry, Nurse PractitionerSC
Nurse PractitionerME
Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerMS
Nurse PractitionerAL
Nurse PractitionerWY
Hospitalist, Internal MedicineLA
Nurse PractitionerNJ
Family PracticeFL

Reviews

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Frequently asked questions

What identifier follows REBECCA R. GILLIAM (AGACNP-BC) across health systems?
The NPI 1255735999 uniquely identifies REBECCA R. GILLIAM (AGACNP-BC) in U.S. healthcare data.
Quick check: is REBECCA R. GILLIAM (AGACNP-BC) active?
Public NPPES data shows REBECCA R. GILLIAM (AGACNP-BC) with an active NPI status right now.
What does the directory say REBECCA R. GILLIAM (AGACNP-BC) does?
Insurance directories may phrase it differently, but here REBECCA R. GILLIAM (AGACNP-BC) maps to Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to REBECCA R. GILLIAM (AGACNP-BC)?
REBECCA R. GILLIAM (AGACNP-BC) is associated with San Antonio, Texas in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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