NPIMap

Individual provider Active NPI

Coleman Gulick, N.P.

  • Nurse Practitioner
  • Mt Pleasant, MI
National Provider Identifier
1326443722
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704255298 Issued in MI
Practice address
4851 E Pickard St Ste 1300
Mount Pleasant, MI 48858-2038
Phone
(989) 773-0623
NPI assigned
Oct 28, 2014
Last updated
Dec 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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 4704255298 MI Primary

Addresses

Primary practice location

4851 E Pickard St Ste 1300
Mount Pleasant, MI 48858-2038

Mailing address

271 McCoy Rd W
Suite 1
Gaylord, MI 49735-8253
Phone (989) 731-7708

Other practice location 1

829 N Center Ave
Gaylord, MI 49735-1595
Phone (989) 731-7708

Other identifiers 1

IdentifierTypeStateIssuer
OF96004OtherMIMEDICARE GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141119000505 MI Practitioner - Nurse Practitioner 5395967715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center AlmaGroup PAC ID 3375451404, 140 clinicians

Practice addresses (Care Compare)

4851 E Pickard St
Suite 1300
Mt Pleasant, MI 48858-2038
Phone (989) 773-0623

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704255298MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Alma Nurse Practitioner CurrentSince Jul 18, 2022 Accepting new patients
Mymichigan Medical Center Alma Current Accepting new patients
Mymichigan Medical Center Alma Nurse Practitioner CurrentSince Jul 18, 2022 Accepting new patients
Center for Pulmonary and Sleep Medicine PC CurrentSince Jun 10, 2019 Accepting new patients
Mymichigan Medical Center Alma Past Accepting new patients

Locations

315 E Warwick Dr
Ste C
Alma, MI 48801
Phone (989) 463-9300

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4851 E Pickard St
Ste 1300
Mt Pleasant, MI 48858
Phone (989) 773-0623

560 W Mitchell St
Ste 505
Petoskey, MI 49770
Phone (231) 487-2100

Interoperability endpoints

  • Direct secure messaging: cgulick127652@mymichiganhealth.midirect.net
  • Direct secure messaging: colemangulick@cpsm.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1326443722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 MCCOY RD W",
            "address_2": "SUITE 1",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497358253",
            "telephone_number": "989-731-7708",
            "fax_number": "989-731-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 E PICKARD ST STE 1300",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582038",
            "telephone_number": "989-773-0623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "829 N Center Ave",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351595",
            "country_code": "US",
            "telephone_number": "989-731-7708",
            "fax_number": "989-731-7929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULICK",
        "first_name": "COLEMAN",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-28",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704255298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "OF96004",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.