Individual provider Active NPI

Gabrielle Eliza Gwaltney, AU.D

  • Audiologist
  • Midland, MI
National Provider Identifier
1194611202
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601001212 Issued in MI
Practice address
715 E Main St Ste 115
Midland, MI 48640-5488
Phone
(989) 486-1457
NPI assigned
Jun 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601001212 MI Primary

Addresses

Primary practice location

715 E Main St Ste 115
Midland, MI 48640-5488

Mailing address

615 Gemma Dr
Midland, MI 48642-8116

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251002001476 MI Practitioner - Qualified Audiologist 6608372297 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Audiology, LLC 3 clinicians
GLB ENT PLLC 4 clinicians

Practice addresses (Care Compare)

12775 Escanaba Dr
Dewitt, MI 48820-8615
Phone (517) 669-8080

715 E Main St
Suite 115
Midland, MI 48640-5488
Phone (989) 486-1457

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Audiology, LLC CurrentSince Jul 5, 2025 Accepting new patients
GLB ENT PLLC CurrentSince Jan 20, 2026 Accepting new patients
Advanced Audiology, LLC PastSince Jun 23, 2025 Accepting new patients

Locations

12775 Escanaba Dr
Ste 3A
Dewitt, MI 48820

12775 Escanaba Dr
Ste 3
Dewitt, MI 48820
Phone (517) 669-8080

1536 Haslett Rd
Haslett, MI 48840
Phone (517) 339-4100

715 E Main St
Ste 115
Midland, MI 48640
Phone (989) 486-1457

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1194611202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 GEMMA DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486428116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E MAIN ST STE 115",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486405488",
            "telephone_number": "989-486-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWALTNEY",
        "first_name": "GABRIELLE",
        "middle_name": "ELIZA",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601001212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.