Michaela A Gulzow, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

112847 Issued in NE

Practice address

945 E Zero St
Ainsworth, NE 69210-1556

Phone

(402) 387-2800

Fax

(402) 387-2804

NPI assigned

Jun 14, 2019

Last updated

Oct 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michaela A Ostdiek Former name

Medicare fee-for-service enrollment

Enrolled in NE

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Mary Lanning Memorial Hospital AssociationGroup PAC ID 4587575550, 129 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgulzow370294@direct.nebraskamed.com

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.

• The Mary Lanning Memorial Hospital Association

  • Family Medicine Physician
  • Hastings, NE
  • NPI 1356656417
  Medicare reassignment Care Compare group NPD
• The Mary Lanning Memorial Hospital Association

  dba Pathology Professional Services-MLMH

  • Anatomic Pathology & Clinical Pathology Physician
  • Hastings, NE
  • NPI 1760530216
  NPD

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1104486992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 E ZERO ST",
            "city": "AINSWORTH",
            "state": "NE",
            "postal_code": "692101556",
            "telephone_number": "402-387-2800",
            "fax_number": "402-387-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 E ZERO ST",
            "city": "AINSWORTH",
            "state": "NE",
            "postal_code": "692101556",
            "telephone_number": "402-387-2800",
            "fax_number": "402-387-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULZOW",
        "first_name": "MICHAELA",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "112847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAELA",
            "last_name": "OSTDIEK",
            "middle_name": "A",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Five Star Quality Care - NE, LLC Dba Ainsworth Care Center
• Ronald L Fuller, D.D.S.
• Hillary M Goodwin, APRN
• Teresa K Goshorn
• Kwynn Meagan Gracey, OTR/L
• Susan Haskell
• Heartland Counseling Services, Inc.
• Jenee' L. Hill, LIMHP LADC
• Catherine A Hinrichs, O.D.
• Chelsea Hladky, SCHOOL NURSE

• Nurse Practitioner in Ainsworth, NE
• Providers in Ainsworth, NE by specialty
• Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.