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

Taylor Jeanne Gillis

Individual provider Physician Assistant · NPI 1184309320

Taylor Jeanne Gillis is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2022, 4 years ago. Practices with Pine Rest Christian Mental Health Services, a 353-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2023
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Practice location Address checks out

300 68th St SE
Grand Rapids, MI 49548-6927
Phone: (616) 258-7429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 560111537 (MI)

Record details

NPI number1184309320
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 15, 2023
Last updated in NPPESSeptember 8, 2023
Certification dateSeptember 8, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Pine Rest Christian Mental Health Services — 353 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Grand Rapids