Look up the most recent NPI and PECOS records

Jill Gates

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4724 N Davis Hwy, Pensacola, FL 32503-2339

PECOS Enrollment

Based on the most recent information from CMS, provider Jill Gates is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1790384196
Provider Type
Individual
Full Name
Gates, Jill
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
10/19/2020
Last Updated
1/10/2025

Contact Information

Practice Location

4724 N Davis Hwy, Pensacola, FL 32503-2339

(850) 696-4000

(850) 434-2647

Mailing Location

4724 N Davis Hwy, Pensacola, FL 32503-2339

(850) 696-4000

(850) 434-2647

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 1109295 Alabama

Jill Gates

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Weaver, Kaitlyn

Jacobus, Dawn Starr

Velez, Aubri Rihan

Williams, Larry Jordan

Lanier, Alicia

Gapasin, Lucresia

Avalon Medical Group

Greskovich, Carla

Tolbert, Sean Ashley

Lemon, Sarah Elizabeth