MONICA GILLIE (MD) – Family Medicine Physician, NPI 1023697323
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
Provider Addresses for MONICA GILLIE (MD)
PO BOX 25608
SALT LAKE CITY, UT 841250608
Phone: (206) 320-4476
Type: Mailing
550 16TH AVE STE 100
SEATTLE, WA 981225636
Phone: (206) 320-2484
Fax: (206) 320-4568
Type: Location
14969 FLORENCE TRL # 1012
APPLE VALLEY, MN 551244629
Phone: (408) 283-7676
Fax: (408) 283-7646
Type: Mailing
455 OCONNOR DR STE 200
SAN JOSE, CA 951281632
Phone: (408) 283-7676
Fax: (408) 283-7646
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: 2024-11-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240904004855 | I | Family Practice | CA | TBD |
| I20241124000025 | I | Family Practice | WA | TBD |
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.
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 84125)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Physician Assistant | WA | |
| Family Practice | WA | |
| - | WA | |
| - | WA | |
| - | WA | |
| Family Practice | UT | |
| Internal Medicine | WA | |
| - | WA | |
| Mental Health Counselor | WA |
Reviews
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