Michelle L Gosnell, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209020890 Issued in IL

Practice address

2540 Hauser Ross Dr
Sycamore, IL 60178-3148

Phone

(779) 777-7335

Fax

(815) 758-8441

NPI assigned

Oct 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Professional Services in Health Psychology, LTD

  dba LivingRite, The Center for Behavioral Health, LTD

  • Clinical Psychologist
  • Sycamore, IL
  • NPI 1306078894
  Medicare reassignment NPD
• MHB Medication Management LLC

  dba LivingRite

  • Psychiatric/Mental Health Nurse Practitioner
  • Sycamore, IL
  • NPI 1508693458
  NPD Authorized official
• Three Birds Mental Health Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sycamore, IL
  • NPI 1144141870
  NPD (past)

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

{
    "created_epoch": "1572048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1528601127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 BETHANY RD",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783124",
            "telephone_number": "779-777-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 HAUSER ROSS DR",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783148",
            "telephone_number": "779-777-7335",
            "fax_number": "815-758-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSNELL",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-26",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209020890",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209020890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Goldman, M.D.
• Vasantha L Gona, M.D.
• William Gonigam, DPT
• Marie Gonzalez, APRN,CNP
• Rachel Goodeill, R.D.H.
• Rachel Graf
• David Gramer, ATC
• Grand Dental Associates, P.C. (Grand Dental - Sycamore)
• Grand Victorian of Sycamore
• Grand Victorian of Sycamore, LLC

• Nurse Practitioner in Sycamore, IL
• Providers in Sycamore, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.