Active NPI
Gaia Kile, MSN RN-CS
- Family Nurse Practitioner
- Plymouth, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704195120
- Practice address
- 340 N Main St Ste 200
Plymouth, MI 48170-1250 - Phone
- (734) 335-0028
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704195120 | MI | Primary |
Addresses
Primary practice location
340 N Main St Ste 200
Plymouth, MI 48170-1250
Mailing address
522 Miller Ave
Ann Arbor, MI 48103-3342
Phone (734) 994-4937
Other practice location 1
210 Little Lake Dr
suite 10
Ann Arbor, MI 48103-6218
Phone (734) 332-9936
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4561594 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
340 N Main St
Suite 201
Plymouth, MI 48170-1290
Phone (734) 335-0605
Hospital & facility affiliations
- University of Michigan Health System
- Trinity Health Ann Arbor Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704195120 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simply Mindful Counseling, LLC | Current | Accepting new patients |
Locations
340 N Main St
Ste 200
Plymouth, MI 48170
Phone (734) 335-0028
340 N Main St
Ste 201
Plymouth, MI 48170
Phone (734) 335-0605
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.
-
- Clinical Social Worker
- Plymouth, MI
- NPI 1851900302
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
-
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1265478176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 MILLER AVE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481033342",
"telephone_number": "734-994-4937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 N MAIN ST STE 200",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481701250",
"telephone_number": "734-335-0028"
}
],
"practiceLocations": [
{
"address_1": "210 Little Lake Dr",
"address_2": "suite 10",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481036218",
"country_code": "US",
"telephone_number": "734-332-9936",
"fax_number": "206-666-2989",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KILE",
"first_name": "GAIA",
"name_prefix": "Mr.",
"credential": "MSN RN-CS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704195120",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4561594",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.