Active NPI
Gabrielle Monique Nadeau
- Adult Health Nurse Practitioner
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 4704305918
- Practice address
- 1201 E Michigan Ave Ste 200
Jackson, MI 49201-1855 - Phone
- (517) 204-4841
- NPI assigned
- Apr 23, 2020
- Last updated
- Feb 17, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4704305918 | MI | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 4704305918 | MI |
Addresses
Primary practice location
1201 E Michigan Ave Ste 200
Jackson, MI 49201-1855
Mailing address
2275 Hollywood Dr
Monroe, MI 48162-4119
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 E Michigan Ave
200 Henry Ford Allegiance Pain Management C
Jackson, MI 49201-1855
Phone (517) 205-4841
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704305918 | MI | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W.a. Foote Memorial Hospital, Inc | Nurse Practitioner | Current | Accepting new patients |
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Fadi Delly, MD PC | Current | Accepting new patients |
Locations
1201 E Michigan Ave
Ste 200
Jackson, MI 49201
Phone (517) 204-4841
15750 Northline Rd
Southgate, MI 48195
Phone (248) 798-3130
2211 Fort St
Wyandotte, MI 48192
Phone (734) 246-5705
Organizations & group practices 4
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 Henry Ford Allegiance Health
- Nurse Practitioner
- Jackson, MI
- NPI 1629000708
-
dba Premier Neurology & Pain Specialists
- Interventional Pain Medicine Physician
- Wyandotte, MI
- NPI 1992170187
-
dba Henry Ford Allegiance Health
- Nurse Practitioner
- Jackson, MI
- NPI 1366988347
-
dba Henry Ford Allegiance Health
- Physician Assistant
- Jackson, MI
- NPI 1538606348
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Henry Ford Health Center Brownstown
- Ambulatory Surgical Clinic/Center
- Wyandotte, MI
- NPI 1093901035
Hospital
-
- General Acute Care Hospital
- Wyandotte, MI
- NPI 1992725352
-
dba Beaumont Hospital - Trenton
- General Acute Care Hospital
- Trenton, MI
- NPI 1740230648
-
dba Henry Ford Allegiance Health
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1497375091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2275 HOLLYWOOD DR",
"city": "MONROE",
"state": "MI",
"postal_code": "481624119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 E MICHIGAN AVE STE 200",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011855",
"telephone_number": "517-204-4841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NADEAU",
"first_name": "GABRIELLE",
"middle_name": "MONIQUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-23",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MI",
"license": "4704305918",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MI",
"license": "4704305918",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.