Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Jacqueline Gillis, CRNP

Individual provider Family Nurse Practitioner · NPI 1053760637

Jessica Jacqueline Gillis, CRNP is a Nurse Practitioner in Ephrata, Pennsylvania. Qualified in 2016, 10 years ago. Practices with Lancaster General Medical Group, a 582-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
10
Licensed in
PA
In the registry since
2016
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

101 Larkspur Ln
Ephrata, PA 17522-8402
Phone: (717) 738-0660
Fax: (717) 738-0658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP016270 (PA)

Record details

NPI number1053760637
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJune 6, 2016
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Lancaster General Medical Group — 582 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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