Organization Active NPI

GL Momentum PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Battle Creek, MI
National Provider Identifier
1003505363
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GL MOMENTUM PLLC
Practice address
395 S Shore Dr
Battle Creek, MI 49014-5466
Phone
(947) 217-3212
Fax
(877) 694-3717
NPI assigned
May 3, 2023
Last updated
Apr 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Oksana LidkeNPI 1427512425
Title
Nurse Practitioner
Phone
(231) 246-5252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

395 S Shore Dr
Battle Creek, MI 49014-5466

Mailing address

32905 W 12 Mile Rd
Farmington Hills, MI 48334-3342
Phone (313) 759-7102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240216002842 MI Part B Supplier - Clinic/Group Practice 5597109637 Receives reassigned benefits from 1 practitioner
Practice locations: Battle Creek, MI

National Provider Directory

National Provider Directory

Locations

395 S Shore Dr
Battle Creek, MI 49014
Phone (947) 217-3212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1003505363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32905 W 12 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343342",
            "telephone_number": "313-759-7102",
            "fax_number": "248-278-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 S SHORE DR",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145466",
            "telephone_number": "947-217-3212",
            "fax_number": "877-694-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GL MOMENTUM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "LIDKE",
        "authorized_official_first_name": "OKSANA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "231-246-5252"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.