Individual provider Active NPI

Gwendolyn Wright, DNP

  • Gerontology Nurse Practitioner
  • Grand Blanc, MI
National Provider Identifier
1467832246
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704240771 Issued in MI
Practice address
600 Health Park Blvd
Ste D
Grand Blanc, MI 48439-2558
Phone
(810) 603-8400
Fax
(810) 603-8410
NPI assigned
Jun 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 4704240771 MI Primary

Addresses

Primary practice location

600 Health Park Blvd
Ste D
Grand Blanc, MI 48439-2558

Mailing address

3495 S Center Rd
Burton, MI 48519-1455
Phone (810) 424-2011

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
I20150803002720 MI Practitioner - Nurse Practitioner 7214241322 Reassigns benefits to 1 organization

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
Flint Gastroenterology Associates PCGroup PAC ID 3072589100, 11 clinicians

Practice addresses (Care Compare)

8275 Holly Rd
Suite 2
Grand Blanc, MI 48439-2442
Phone (810) 603-8400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Flint Gastroenterology Associates PC CurrentSince Nov 1, 2016 Accepting new patients

Locations

3495 S Center Rd
Flint, MI 48519
Phone (810) 424-2025

8275 Holly Rd
Ste 2
Grand Blanc, MI 48439
Phone (810) 603-8400

600 Health Park Blvd
Ste D
Grand Blanc, MI 48439
Phone (810) 603-8400

Interoperability endpoints

  • Direct secure messaging: gwright1158202@direct.hfhs.org
  • Direct secure messaging: gwendolynwright@pmi.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1467832246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191455",
            "telephone_number": "810-424-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HEALTH PARK BLVD",
            "address_2": "STE D",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392558",
            "telephone_number": "810-603-8400",
            "fax_number": "810-603-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "GWENDOLYN",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704240771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.