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Active NPI 1063991206 Individual Practitioner Female Practitioner

Holly Ann Gates , NP

Nurse Practitioner • Benton, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Holly Gates, NP is a certified Nurse Practitioner practicing in Benton, IL. With approximately 8 years of clinical experience since completing medical education in 2018, Holly Gates delivers high-quality medical care to the local community at 203 BAILEY LN STE 1.

Holly Gates maintains professional affiliations with Southern Illinois Medical Services Nfp, Shawnee Health Service And Development Corp and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

203 Bailey Ln Ste 1

Benton, IL 628122266

Telephone 6184385670
Fax 6184385709
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Benton, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs Matches City Avg
City Avg: 8.0 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
4 Specialists

Practicing in Benton, IL (4929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gates (8 Years) 8 Yrs
Benton Specialty Average (8.0 Years) 8.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-02-04
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 277001378

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Shawnee Health Service And Development Corp

400 S Lewis Ln, Carbondale, IL 629013547

Phone: 6185199900

Shawnee Health Service And Development Corp

404 S Lewis Ln, Carbondale, IL 629013547

Phone: 6185199200

Southern Illinois Medical Services Nfp

203 Bailey Ln, Benton, IL 628121969

Phone: 6184385670

Shawnee Health Service And Development Corp

1006 S Division St, Carterville, IL 629181539

Phone: 6189854841

Secondary Practice Locations

405 Rushing Dr

Herrin, IL 629483730

Phone: 6189933300

117 E Clark St

Harrisburg, IL 629462702

Phone: 6182528625

2601 W Main St

Carbondale, IL 629011031

Phone: 6185495361

502 W Saint Louis St Ste 4

West Frankfort, IL 628961968

Phone: 6189373400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dawn Gates , APN

Nurse Practitioner - Family

NPI 1437534070

Advanced Practice Nurse

NPI 1518920073

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location February 04, 2026

Registered at 203 BAILEY LN STE 1, BENTON, IL 628122266 (Tel: 6184385670)

📍
Updated Business Mailing Address February 04, 2026

Registered at PO BOX 3988, CARBONDALE, IL 629023988 (Tel: 6184575200)

👤
Provider Name / Credentials Updated February 04, 2026

Recorded as HOLLY GATES, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2026

Nurse Practitioner (License #277001378 in IL)

📍
Updated Practice Location August 22, 2022

Registered at 3111 WILLIAMSON COUNTY PKWY, MARION, IL 629595235 (Tel: 6185199200)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2022

Nurse Practitioner (License #277.001378 in IL)

📍
Updated Practice Location June 12, 2019

Registered at 1506 SIOUX DR, MARION, IL 62959 (Tel: 6185199200)

📍
Updated Business Mailing Address June 12, 2019

Registered at 109 CALIFORNIA ST PO BOX 577, CARTERVILLE, IL 629180577 (Tel: 6185199200)

📍
Updated Business Mailing Address May 29, 2019

Registered at 15154 RUE BELLE LN, JOHNSTON CITY, IL 629512958 (Tel: 6186872353)

👤
Provider Name / Credentials Updated May 29, 2019

Recorded as HOLLY GATES, NP-C

NPI Profile Active August 08, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 08, 2018

Registered at 628 N 14TH ST, MURPHYSBORO, IL 629661807 (Tel: 6186872353)

📍
Updated Business Mailing Address August 08, 2018

Registered at 2015 PINE ST, MURPHYSBORO, IL 629661937 (Tel: 6186872353)

👤
Provider Name / Credentials Updated August 08, 2018

Recorded as HOLLY RYDER, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2018

Nurse Practitioner (License #209017901 in IL)

🟢
Initial NPI Registration & Enumeration August 08, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063991206
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2018
Last Update: February 04, 2026
Sole Proprietor: No

Mailing Address

Po Box 3988

Carbondale, IL 629023988

Phone: 6184575200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.