Individual provider Active NPI

Jay Randall Gottschalk, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lansing, MI
National Provider Identifier
1437660248
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704296264 Issued in MI
Practice address
3220 Discovery Dr Ste 101
Lansing, MI 48910-8599
Phone
(517) 325-3776
Fax
(517) 220-2101
NPI assigned
Oct 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704296264 MI Primary
Clinical Nurse Specialist 364S00000X 4704296264 MI

Addresses

Primary practice location

3220 Discovery Dr Ste 101
Lansing, MI 48910-8599

Mailing address

3220 Discovery Dr Ste 101
Lansing, MI 48910-8599
Phone (517) 325-3776

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
I20221117002075 MI Practitioner - Nurse Practitioner 1951779271 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704296264MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Msu Health Care Inc Current Accepting new patients
Michigan Advanced Psychiatry, P.C. CurrentSince Jun 1, 2025 Accepting new patients
Msu Health Care Inc. CurrentSince Jan 2, 2023 Accepting new patients
Msu Health Care Inc. CurrentSince Jan 2, 2023 Accepting new patients
Catholic Charities of Ingham, Eaton and Clinton Counties CurrentSince Jan 25, 2023 Accepting new patients
Michigan State University PastSince Apr 23, 2023 Accepting new patients
Cristo Rey Community Center Past Accepting new patients
Indiana Advanced Psychiatry PastSince Jan 21, 2024 Accepting new patients

Locations

320 N Main St
Ste 300
Ann Arbor, MI 48104
Phone (734) 436-4886

612 W Lake Lansing Rd
Ste 200
East Lansing, MI 48823
Phone (517) 324-7020

909 Wilson Rd
Ste B119
East Lansing, MI 48824

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

804 Service Rd
Ste A110
East Lansing, MI 48824
Phone (517) 353-3003

804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976

1717 N High St
Lansing, MI 48906
Phone (517) 371-1700

3220 Discovery Dr
Ste 101
Lansing, MI 48910
Phone (517) 325-3776

1700 W Big Beaver Rd
Ste 300
Troy, MI 48084
Phone (248) 885-8887

Organizations & group practices 8

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": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1437660248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 DISCOVERY DR STE 101",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489108599",
            "telephone_number": "517-325-3776",
            "fax_number": "517-220-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 DISCOVERY DR STE 101",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489108599",
            "telephone_number": "517-325-3776",
            "fax_number": "517-220-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTSCHALK",
        "first_name": "JAY",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704296264",
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "MI",
            "license": "4704296264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.