Jenilee Pellegrini
Individual provider Active NPI Licensed Practical Nurse · Gladstone, MI
NPI 1053226258 · NPPES record last updated Aug 14, 2026
Key facts
- NPI
- 1053226258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4703114496 (MI)
- Practice address
- 8496 M.5 Rd
Gladstone, MI 49837-9101 - Phone
- (682) 220-0866
- NPI assigned
- Aug 14, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse |
164W00000X | 4703114496 | MI | Yes |
Addresses
Primary practice location
8496 M.5 Rd
Gladstone, MI 49837-9101
Mailing address
8496 M.5 Rd
Gladstone, MI 49837-9101
Other providers in Gladstone, MI
- Maryanne Wojda McLeod
- Murrays Country View
- Northwoods Rehabilitation Inc.
- Carley O'Neal
- Charles S Olsen
- Peninsula Pharmacy Gladstone LLC
- Richard Charles Pfotenhauer
- Scott A Randall
- Matthew Rayeski
- Erik M Rubright
All providers in Gladstone, MI · Licensed Practical Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.