Sonya Gilson, APNP
NPI 1295981801 · Family Nurse Practitioner · Great Falls, MT
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sonya Gilson, APNP is a Family Nurse Practitioner provider in Great Falls, MT (NPI 1295981801).
Provider details
- NPI number
- 1295981801
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APNP
- Sex
- Female
- Sole proprietor
- No
- License
- 3465-33 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
186 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 66 | $54 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 41 | $109 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 35 | $81 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 33 | $13 |
| Transitional Care Management Services for Problem of at Least Moderate Complexity99495 | 11 | $116 |
Typical Medicare-allowed amounts for these services range $13–$116 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 41 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 176 | 41 |
| Lisinopril | 129 | 26 |
| Amlodipine Besylate | 108 | 20 |
| Levothyroxine Sodium | 106 | 21 |
| Losartan Potassium | 95 | 19 |
| Gabapentin | 73 | — |
| Omeprazole |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$99 across 5 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-08-14
- Last updated
- 2024-04-08
- Certified
- 2024-04-08
Frequently asked questions
- What is Sonya Gilson's NPI number?
- Sonya Gilson's National Provider Identifier (NPI) is 1295981801, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sonya Gilson's specialty?
- Sonya Gilson is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Sonya Gilson located?
- Sonya Gilson's practice location on file with NPPES is 1401 25th St S, Great Falls, MT 59405-5183.
- What is Sonya Gilson's phone number?
- The practice phone number listed in the NPPES registry for Sonya Gilson is (406) 731-8888.
- Does Sonya Gilson accept Medicare?
- Sonya Gilson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sonya Gilson's NPI active?
- Yes — Sonya Gilson's NPI (1295981801) is active in the NPPES registry as of the last update on 2024-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.