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

Mrs. Holly Ann Gates, NP

Individual provider Nurse Practitioner · NPI 1063991206

Mrs. Holly Ann Gates, NP is a Nurse Practitioner in Benton, Illinois. Qualified in 2018, 8 years ago. Practices with Shawnee Health Service and Development Corp, a 51-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2018
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

203 Bailey Ln Ste 1
Benton, IL 62812-2266
Phone: (618) 438-5670
Fax: (618) 438-5709
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 2601 W Main St, Carbondale, IL 62901-1031 — (618) 549-5361
  • 117 E Clark St, Harrisburg, IL 62946-2702 — (618) 252-8625
  • 405 Rushing Dr, Herrin, IL 62948-3730 — (618) 993-3300
  • 502 W Saint Louis St Ste 4, West Frankfort, IL 62896-1968 — (618) 937-3400

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 277001378 (IL)

Record details

NPI number1063991206
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 8, 2018
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Shawnee Health Service And Development Corp — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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