Richard Steven Gaft, ANCC, FNP

Individual provider Active NPI Family Nurse Practitioner · Prescott, MI

NPI 1578626735 · NPPES record last updated Aug 25, 2010

Key facts

NPI
1578626735
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
4704201154 (MI)
Practice address
125 N Washington St
Box 114
Prescott, MI 48756-5117
Phone
(989) 873-3352
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott Clinic P.C. Past
since Oct 22, 2019
Accepting new patients
Prescott Clinic P.C. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4704201154 MI
Family Nurse Practitioner 363LF0000X 4704201154 MI Yes

Addresses

Primary practice location

125 N Washington St
Box 114
Prescott, MI 48756-5117

Mailing address

125 N Washington St
PO Box 114
Prescott, MI 48756-5117
Phone (989) 873-3352

Other identifiers

IdentifierTypeStateIssuer
5008774320OtherMIBCBS
MI1172OtherMIMEDICARE GROUP NUMBER

Other providers in Prescott, MI

All providers in Prescott, MI · Family Nurse Practitioner in Michigan

Sources for this page

Verify at the official NPI Registry.