Individual provider Active NPI

Jodi M Gaglio

  • Family Nurse Practitioner
  • Lambertville, MI
National Provider Identifier
1033600077
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704230924 Issued in MI
Practice address
7581 Secor Rd
Lambertville, MI 48144-9624
Phone
(734) 856-6360
NPI assigned
May 25, 2018
Last updated
May 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704230924 MI Primary

Addresses

Primary practice location

7581 Secor Rd
Lambertville, MI 48144-9624

Mailing address

7581 Secor Rd
Lambertville, MI 48144-9624
Phone (734) 856-6360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180726001851 MI Practitioner - Nurse Practitioner 3678820362 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyandotte Urgent Care ClinicGroup PAC ID 4183996150, 17 clinicians
Southshore Urgent Care PLLCGroup PAC ID 5698009777, 14 clinicians
Epmg Downriver PLLCGroup PAC ID 6608038443, 32 clinicians

Practice addresses (Care Compare)

1768 Ford Ave
Wyandotte, MI 48192-2306
Phone (313) 377-5758

20789 Gibraltar Rd
Brownstown TWP, MI 48183-5087
Phone (734) 444-2961

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Epmg Downriver PLLC CurrentSince Oct 5, 2021 Accepting new patients
Wyandotte Urgent Care Clinic CurrentSince Sep 1, 2023 Accepting new patients
Southshore Urgent Care PLLC. CurrentSince Sep 1, 2023 Accepting new patients
Blue Water Urgent Care PLLC CurrentSince Jul 1, 2026 Accepting new patients
Mercy Health Physicians-North LLC CurrentSince Jul 16, 2018 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Jul 16, 2018 Accepting new patients
Aspen Medical Partners LLC Family Current Accepting new patients

Locations

20789 Gibraltar Rd
Brownstown Twp, MI 48183
Phone (734) 444-2961

23050 West Rd
Brownstown Twp, MI 48183
Phone (734) 287-9880

7581 Secor Rd
Lambertville, MI 48144
Phone (734) 854-1800

1768 Ford Ave
Wyandotte, MI 48192
Phone (313) 377-5758

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

Interoperability endpoints

  • Direct secure messaging: jgaglio237204@direct.hfhs.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1033600077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7581 SECOR RD",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "481449624",
            "telephone_number": "734-856-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7581 SECOR RD",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "481449624",
            "telephone_number": "734-856-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGLIO",
        "first_name": "JODI",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704230924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lambertville, MI

Sources for this page

Verify at the official NPI Registry.