Andrea Joy Gulisano, RN, MSN, APRN-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704216653 Issued in MI

Practice address

11800 E 12 Mile Rd
Warren, MI 48093-3472

Phone

(586) 573-5448

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elizabeth a Pensler DO PLLCGroup PAC ID 6305140880, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: agulisano767769@direct.hfhs.org

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.

• Elizabeth a Pensler DO PLLC

  dba Pensler Vein and Vascular Sugical Institute

  • Vascular Surgery Physician
  • Ferndale, MI
  • NPI 1255704805
  Medicare reassignment Care Compare group NPD
• K Heart & Vascular Institute, PLLC

  • Cardiovascular Disease Physician
  • Sterling Heights, MI
  • NPI 1003366675
  Medicare reassignment NPD
• Derek L Hill DO PLLC

  dba Hill Orthopedics

  • Orthopaedic Surgery Physician
  • Ferndale, MI
  • NPI 1154710333
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497806087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38789 HAMPTON CT",
            "city": "HARRISON TOWNSHIP",
            "state": "MI",
            "postal_code": "480452269",
            "telephone_number": "586-573-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933472",
            "telephone_number": "586-573-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULISANO",
        "first_name": "ANDREA",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704216653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guaranteed Hearing Inc.
• Guardians Angles Home Health Care
• Jenipher Leigh Guerin, LLMSW
• Guiding Light OT, LLC
• Kristiana Marie Gulino
• Anne M Guminik, OTR
• Lakshmi Saroja Gundapaneni
• Maximilian Gundershausen, M.D.
• Raghuvardhan Reddy Gunukula
• Anupama Gupta

• Family Nurse Practitioner in Warren, MI
• Providers in Warren, 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 Jul 8, 2007; 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.

Verify at the official NPI Registry.