Stephanie Rae Gillis, MS, NP-C, CRNP - Nurse Practitioner in Ellicott City, MD

Stephanie Rae Gillis, MS, NP-C, CRNP is a Nurse Practitioner - Family based in Ellicott City, Maryland. Stephanie Rae Gillis is licensed to practice in Maryland (license number R169531) and her current practice location is 3300 Centennial Ln, Ellicott City, Maryland. She can be reached at her office (for appointments etc.) via phone at (866) 389-2727.

NPI number for Stephanie Rae Gillis is 1790069490 and her current mailing address is 3159 Pine Orchard Ln Apt 302, Ellicott City, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790069490.

Contact Information

Stephanie Rae Gillis, MS, NP-C, CRNP
3300 Centennial Ln,
Ellicott City, MD 21042-3600
(866) 389-2727
Not Available

Map and Direction




Provider's Profile

Full NameStephanie Rae Gillis
GenderFemale
SpecialityNurse Practitioner - Family
Location3300 Centennial Ln, Ellicott City, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1790069490
  • Provider Enumeration Date: 09/29/2011
  • Last Update Date: 02/01/2022

Medical Identifiers

Medical identifiers for Stephanie Rae Gillis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790069490NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R169531 (Maryland)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Rae Gillis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stephanie Rae Gillis, MS, NP-C, CRNP
3159 Pine Orchard Ln Apt 302,
Ellicott City, MD 21042-4223

Ph: (443) 420-8391
Stephanie Rae Gillis, MS, NP-C, CRNP
3300 Centennial Ln,
Ellicott City, MD 21042-3600

Ph: (866) 389-2727

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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