Individual provider Active NPI

Leah Marie Gaeth

  • Family Nurse Practitioner
  • Hemlock, MI
National Provider Identifier
1003532904
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704306965 Issued in MI
Practice address
2175 N Fordney Rd
Hemlock, MI 48626-9458
Phone
(989) 573-2279
NPI assigned
Oct 13, 2022
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 15382 CT
Family Nurse Practitioner 363LF0000X 4704306965 MI Primary

Addresses

Primary practice location

2175 N Fordney Rd
Hemlock, MI 48626-9458

Mailing address

2175 N Fordney Rd
Hemlock, MI 48626-9458
Phone (989) 573-2279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CA, CT3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20221027002413 MI Practitioner - Nurse Practitioner 5799152120 Reassigns benefits to 1 organization
I20250304003330 CA Practitioner - Nurse Practitioner 5799152120 Reassigns benefits to 2 organizations
I20251001002763 CT Practitioner - Nurse Practitioner 5799152120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 Oceangate
Suite 100
Long Beach, CA 90802-4316

238 Georgian Ter
Saginaw, MI 48609-9498

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704306965MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Healthcare of California CurrentSince Feb 24, 2025 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Feb 24, 2025 Accepting new patients
Molina Care Connections, LLC. CurrentSince Dec 5, 2022 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

175 Scott Swamp Rd
Farmington, CT 06032
Phone (860) 249-6752

880 W Long Lake Rd
Troy, MI 48098
Phone (248) 227-6316

Interoperability endpoints

  • Direct secure messaging: lgaeth14001@direct-prd.molinahealthcare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1003532904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 N FORDNEY RD",
            "city": "HEMLOCK",
            "state": "MI",
            "postal_code": "486269458",
            "telephone_number": "989-573-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 N FORDNEY RD",
            "city": "HEMLOCK",
            "state": "MI",
            "postal_code": "486269458",
            "telephone_number": "989-573-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAETH",
        "first_name": "LEAH",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "15382",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704306965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemlock, MI

Sources for this page

Verify at the official NPI Registry.