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Active NPI 1639758980 Individual Practitioner Male Practitioner

Dr. Nevin Gillis , MD

General Practice • St John, ND

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nevin Gillis, MD is a certified General Practice practicing in St John, ND. With approximately 5 years of clinical experience since graduating from University Of North Dakota School Of Medicine in 2021, Dr. Gillis delivers high-quality medical care to the local community at 128 FOUSSARD AVE NW.

Dr. Gillis is affiliated with Spirit Lake Tribe and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

128 Foussard Ave Nw

St John, ND 58369

Telephone 7014773111
Associated Practice Facility / Clinic
🏢 Northland Health Centers Facility NPI 1811581820

Medicare Profile & Education

Medical School

University Of North Dakota School Of Medicine

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in St John, ND

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs Matches City Avg
City Avg: 5.0 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
1 Specialists

Practicing in St John, ND (16 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gillis (5 Years) 5 Yrs
St John Specialty Average (5.0 Years) 5.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
64 48 $228.00 $87.88

Medical Specialties & State Licenses

CMS Verified: 2023-09-06
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License ND 19747

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Hospital & Practice Group Affiliations

Spirit Lake Tribe

3883 74th Ave Ne, Fort Totten, ND 583350309

Phone: 7017661600

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Lilia Cid , MD

Family Medicine

NPI 1366639213

Doctor of Medicine (M.D.)

Lavonne Charbonneau , PA-C

Physician Assistant

NPI 1700867397

Physician Assistant (Certified)

Michael Mcqueeney , PA-C

Physician Assistant - Medical

NPI 1720334410

Physician Assistant (Certified)

Dr. Duane Glasner , MD

Family Medicine

NPI 1891724902

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location September 06, 2023

Registered at 128 FOUSSARD AVE NW, ST JOHN, ND 58369 (Tel: 7014773111)

📍
Updated Business Mailing Address September 06, 2023

Registered at 104 MAIN ST, TURTLE LAKE, ND 585754001 (Tel: 8776093577)

👤
Provider Name / Credentials Updated September 06, 2023

Recorded as NEVIN GILLIS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2023

General Practice (License #19747 in ND)

NPI Profile Active April 05, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2021

Registered at 45 READE PL, POUGHKEEPSIE, NY 126013947 (Tel: 8457902085)

📍
Updated Business Mailing Address April 05, 2021

Registered at 45 READE PL, POUGHKEEPSIE, NY 126013947 (Tel: 8457902085)

👤
Provider Name / Credentials Updated April 05, 2021

Recorded as NEVIN GILLIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 05, 2021

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: 1639758980
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2021
Last Update: September 06, 2023
Sole Proprietor: Yes

Mailing Address

104 Main St

Turtle Lake, ND 585754001

Phone: 8776093577

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.