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

Nevin Gillis, MD

Individual provider General Practice Physician · NPI 1639758980

Nevin Gillis, MD is a General Practice in St John, North Dakota. Graduated from University of North Dakota School of Medicine in 2021, 5 years ago. Practices with Spirit Lake Tribe, a 21-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
5
Trained at
University of North Dakota School of Medicine
Licensed in
ND
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

128 Foussard Ave NW
St John, ND 58369
Phone: (701) 477-3111
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 19747 (ND)

Record details

NPI number1639758980
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 5, 2021
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023
Mailing address104 Main St, Turtle Lake, ND 58575-4001

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Spirit Lake Tribe — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount