Individual provider Active NPI

Alicia A Gappa, NP

  • Nurse Practitioner
  • Norton Shores, MI
National Provider Identifier
1174924948
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704248116 Issued in MI
Practice address
3570 Henry St Ste 120
Norton Shores, MI 49441-4576
Phone
(231) 672-7000
NPI assigned
Sep 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704248116 MI Primary

Addresses

Primary practice location

3570 Henry St Ste 120
Norton Shores, MI 49441-4576

Mailing address

3570 Henry St Ste 120
Norton Shores, MI 49441-4576
Phone (231) 672-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agappa36842@direct.trinity-health.org Direct

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
I20141016000356 MI Practitioner - Nurse Practitioner 2567683576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Michigan Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Physician NetworkGroup PAC ID 8921996307, 109 clinicians

Practice addresses (Care Compare)

3570 Henry St
Suite 120
Norton Shores, MI 49441-4576
Phone (231) 672-7000

Hospital & facility affiliations

  • Trinity Health at Home - Muskegon Home health agency, Muskegon, MI, CCN 237198
  • Trinity Health Muskegon Hospital Hospital, Muskegon, MI, CCN 230066

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Physician Network Nurse Practitioner CurrentSince Oct 1, 2014 Accepting new patients

Locations

1675 Leahy St
Ste 301A
Muskegon, MI 49442
Phone (231) 672-8300

1150 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-6740

2006 Holton Rd
North Muskegon, MI 49445
Phone (231) 672-3333

3570 Henry St
Ste 120
Norton Shores, MI 49441
Phone (231) 672-7000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13864/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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

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": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1174924948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 HENRY ST STE 120",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414576",
            "telephone_number": "231-672-7000",
            "fax_number": "231-728-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 HENRY ST STE 120",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414576",
            "telephone_number": "231-672-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAPPA",
        "first_name": "ALICIA",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704248116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agappa36842@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Mercy Physician Network",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "office",
            "address_1": "3570 Henry St Ste 120",
            "city": "Norton Shores",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494414576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norton Shores, MI

Sources for this page

Verify at the official NPI Registry.