Active NPI
Michelle Gillitzer, DNP
- Adult Health Nurse Practitioner
- Coralville, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- H158100
- Practice address
- 2450 Coral CT
Coralville, IA 52241-2975 - Phone
- (319) 645-3300
- NPI assigned
- Jul 2, 2020
- Last updated
- Aug 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | H158100 | IA | |
| Adult Health Nurse Practitioner | 363LA2200X | H158100 | IA | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | H158100 | IA | |
| Primary Care Nurse Practitioner | 363LP2300X | H158100 | IA |
Addresses
Primary practice location
2450 Coral CT
Coralville, IA 52241-2975
Mailing address
2450 Coral CT
Coralville, IA 52241-2975
Other practice location 1
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-2223
Other practice location 2
105 E 9th St
Coralville, IA 52241-2209
Phone (319) 467-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H158100 | IA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Directed Rehabilitation Services | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Encompass Health Rehabilitation Hospital of Iowa City, LLC | Current | Accepting new patients |
Locations
2450 Coral Ct
Coralville, IA 52241
Phone (319) 645-3300
Organizations & group practices 2
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.
-
dba Iowa Health Network Rehabilitation Hospital, a venture w
- Rehabilitation Hospital
- Coralville, IA
- NPI 1114550886
-
- Physical Medicine & Rehabilitation Physician
- Noblesville, IN
- NPI 1063037398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597968000000",
"number": "1437776747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 CORAL CT",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 CORAL CT",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412975",
"telephone_number": "319-645-3300"
}
],
"practiceLocations": [
{
"address_1": "200 Hawkins Dr",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421009",
"country_code": "US",
"telephone_number": "319-356-2223",
"fax_number": "319-382-6622",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "105 E 9th St",
"address_purpose": "LOCATION",
"city": "Coralville",
"state": "IA",
"postal_code": "522412209",
"country_code": "US",
"telephone_number": "319-467-2000",
"fax_number": "319-467-2010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILLITZER",
"first_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-02",
"last_updated": "2020-08-21",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "H158100",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IA",
"license": "H158100",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IA",
"license": "H158100",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "IA",
"license": "H158100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coralville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.