Michelle Lynn Gingrich, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704237644 Issued in MI

Practice address

3355 Eagle Park Dr NE Ste 103
Grand Rapids, MI 49525-7004

Phone

(616) 942-7400

Fax

(855) 618-6655

NPI assigned

Jun 26, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Lynn Dulaney Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Behavioral Care Solutions for Adults and Seniors, Inc.

  • Psychiatry Physician
  • Novi, MI
  • NPI 1154727147

  Family

  Medicare reassignment NPD
• Careconnectmd Michigan PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Dearborn, MI
  • NPI 1477288348
  Medicare reassignment NPD
• Careline Palliative Care LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Jackson, MI
  • NPI 1801367073
  Medicare reassignment NPD
• Northview Medical House Calls PLC

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1336447002
  Medicare reassignment NPD
• Sparrow Carson Hospital

  • Internal Medicine Physician
  • Carson City, MI
  • NPI 1598490542
  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Portage, MI
  • NPI 1669091864
  Medicare reassignment NPD
• Pure Psychiatry of Michigan PLLC

  • Physician Assistant
  • Wayne, MI
  • NPI 1831701671
  Medicare reassignment
• Careline Hmi300 LLC

  • Community Based Hospice Care Agency
  • Grand Rapids, MI
  • NPI 1770257818
  NPD
• Sparrow Carson Hospital

  • Cardiovascular Disease Physician
  • Carson City, MI
  • NPI 1063245694
  NPD
• Sparrow Carson Hospital

  • Family Medicine Physician
  • Fowler, MI
  • NPI 1619124328
  NPD
• Vpa PC

  • Family Medicine Physician
  • Troy, MI
  • NPI 1336153295
  NPD
• Vpa PC

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362
  NPD

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1356861801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ROSEHILL RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021762",
            "telephone_number": "517-212-2008",
            "fax_number": "517-212-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 EAGLE PARK DR NE STE 103",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257004",
            "telephone_number": "616-942-7400",
            "fax_number": "855-618-6655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Kenmoor Ave SE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495468602",
            "country_code": "US",
            "telephone_number": "616-272-3533",
            "fax_number": "616-259-4839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GINGRICH",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704237644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "DULANEY",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jason Gilmore, MD
• Kyle Gilmore
• Yosef Gindzin, M.D.
• Rebecca Ann Gingerich, PA-C
• Brett Gingrich, PHARMD
• Madeline Janelle Ginn-Terpstra, D.O
• Joseph Salvatore Giovannucci, PA-C
• Sam Giovannucci, MD
• Nathaniel C Gipe, MD
• Mary Adeline Gipson

• Family Nurse Practitioner in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.