Nicole A Gagliardi, NP
Individual provider Active NPI Family Nurse Practitioner · Detroit, MI
NPI 1164898722 · NPPES record last updated Aug 21, 2024
Key facts
- NPI
- 1164898722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704278477 (MI)
- Practice address
- 15200 Gratiot
Detroit, MI 48205 - Phone
- (313) 924-8495
- Fax
- (313) 924-8472
- NPI assigned
- Aug 18, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Park Family Health Care PC
Practice addresses (Care Compare)
15200 Gratiot Ave
Detroit, MI 48205-1327
Phone (313) 924-8495
Hospital & facility affiliations
- Henry Ford Health St John Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151123001011 | MI | Practitioner - Nurse Practitioner | 6305146457 | Reassigns benefits to 13 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704278477 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VHS Physicians of Michigan | Current |
Accepting new patients | |
| Park Family Health Care, P.C. | Current |
Accepting new patients | |
| Commerce Urgent Care Walk-in Clinic | Current |
Accepting new patients | |
| Taylor Urgent Care PC | Current |
Accepting new patients | |
| Rochester Urgent Care Walk-in Clinic | Current |
Accepting new patients | |
| Doctors Urgent Care Southfield | Current |
Accepting new patients | |
| Chesterfield Urgent Care Walk-in Clinic | Current |
Accepting new patients | |
| Clinton Urgent Care Walk-in Clinic | Current |
Accepting new patients | |
| Farmington Hills Urgent Care Walk-in Clinic PC | Current |
Accepting new patients | |
| Doctors Urgent Care Sterling Heights West | Current |
Accepting new patients | |
| Sterling Heights Urgent Care Walk-in Clinic | Current |
Accepting new patients | |
| Doctors Urgent Care Troy West PC | Current |
Accepting new patients | |
| Shelby Urgent Care Walk-in Clinic | Current |
Accepting new patients |
Locations
51160 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 221-1805
37150 S Gratiot Ave
Clinton Twp, MI 48036
Phone (586) 267-1334
2900 Union Lake Rd
Ste 110
Commerce Twp, MI 48382
Phone (248) 242-6049
15200 Gratiot Ave
Detroit, MI 48205
Phone (313) 891-0044
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
6071 W Outer Dr
Ofc
Detroit, MI 48235
Phone (313) 966-3116
25950 Middlebelt Rd
Farmington Hills, MI 48336
Phone (248) 803-0672
2255 Fort St
Lincoln Park, MI 48146
Phone (313) 357-7500
14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100
2915 Walton Blvd
Rochester Hills, MI 48309
Phone (248) 375-0022
46961 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 991-5205
28212 Franklin Rd
Southfield, MI 48034
2161 18 Mile Rd
Sterling Heights, MI 48314
Phone (248) 250-6420
43722 Schoenherr Rd
Sterling Hts, MI 48313
Phone (586) 262-4277
23234 Ecorse Rd
Taylor, MI 48180
Phone (313) 292-8400
1933 W Maple Rd
Troy, MI 48084
Phone (248) 250-6420
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 4704278477 | MI | |
| Family Nurse Practitioner | 363LF0000X | 4704278477 | MI | Yes |
Addresses
Primary practice location
15200 Gratiot
Detroit, MI 48205
Mailing address
15200 Gratiot
Detroit, MI 48205
Phone (313) 924-8495
Other names
- Nicole A Mokrzycki
Other providers in Detroit, MI
- Vidhi Gadhiya
- Jaya Raghu Teja Teja Gadivemula
- Aline Gadson
- Karam Gagi
- Maya Gagliardi-Lacharite
- Melisa Gagrica
- Erin Gahagan
- Rahma Gaied
- Marieta Villanueva Gainer
- Asha Gaines
All providers in Detroit, MI · Family Nurse Practitioner 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 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.