Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588947543 Individual Practitioner Female Practitioner

Denise A Gilham , NP

Nurse Practitioner • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Denise Gilham, NP is a registered healthcare professional specializing in Nurse Practitioner in Fort Wayne, IN. Practice services are available at 11123 PARKVIEW PLAZA DR STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11123 Parkview Plaza Dr Ste 200

Fort Wayne, IN 468451707

Telephone 2604256100
Fax 2604256105
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.2 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
526 Specialists

Practicing in Fort Wayne, IN (2620 Statewide)

Telehealth Adoption Rate
23.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-10-20
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71003721A

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
201036060 (IN)
Commercial Insurance / Payer ID Anthem
000000733696 (IN)

Practice Associates & Co-Workers

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

9 Associated Practitioners
Dr. Vimal Jayswal , MD

Pediatrics - Pediatric Cardiology

NPI 1124250915

Doctor of Medicine (M.D.)

Alda Taube

Nurse Practitioner

NPI 1275092629
Dr. Chandrashekhar Yalamanchali , MD

Pediatrics - Pediatric Pulmonology

NPI 1336161868

Doctor of Medicine (M.D.)

Dr. William Loe , MD

Surgery - Pediatric Surgery

NPI 1528024783

Doctor of Medicine (M.D.)

Dr. Paul Stockmann , MD

Surgery - Pediatric Surgery

NPI 1588664932

Doctor of Medicine (M.D.)

Dr. Edgardo Rivera-Rivera , MD

Pediatrics - Pediatric Gastroenterology

NPI 1710151303

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location November 18, 2020

Registered at 11123 PARKVIEW PLAZA DR STE 200, FORT WAYNE, IN 468451707 (Tel: 2604256100)

📍
Updated Business Mailing Address November 18, 2020

Registered at 11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 468451701

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2020

Nurse Practitioner (License #71003721A in IN)

NPI Profile Active October 28, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 28, 2014

Registered at 7950 W JEFFERSON BLVD FL 2, FORT WAYNE, IN 468044140 (Tel: 2604357123)

📍
Updated Business Mailing Address October 28, 2014

Registered at 7950 W JEFFERSON BLVD FL 2, FORT WAYNE, IN 468044140 (Tel: 2604357123)

👤
Provider Name / Credentials Updated October 28, 2014

Recorded as DENISE GILHAM, NP.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2014

Nurse Practitioner (License #71003721A in IN)

🟢
Initial NPI Registration & Enumeration September 26, 2011

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: 1588947543
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2011
Last Update: October 20, 2022
Sole Proprietor: No

Mailing Address

11109 Parkview Plaza Dr # 117

Fort Wayne, IN 468451701

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.