Erica Guastella

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704345959 Issued in MI

Practice address

145 Baynton Ave NE
Grand Rapids, MI 49503-3747

Phone

(616) 550-9689

NPI assigned

Jun 14, 2023

Last updated

Oct 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Erica Gilley Former name

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Curana Health of Michigan PLLCGroup PAC ID 9638502917, 39 clinicians

CH MSSP Services Mi PLLCGroup PAC ID 2961862800, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Curana Health of Michigan PLLC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1659921278

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• CH MSSP Services Mi PLLC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1609569169
  Medicare reassignment Care Compare group
• LTC Physician Care PC

  • Geriatric Medicine (Family Medicine) Physician
  • Bingham Farms, MI
  • NPI 1841991817
  Medicare reassignment NPD

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1619651197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 BAYNTON AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033747",
            "telephone_number": "616-550-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 BAYNTON AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033747",
            "telephone_number": "616-550-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUASTELLA",
        "first_name": "ERICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704345959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "GILLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zhe Guan
• Jesus Guardado, CAREGIVER
• Guardian Angels Private Homecare Corp.
• Guardian Pharmacy of Grand Rapids, LLC (Guardian Pharmacy of Michigan)
• Alexius Guardiola
• Erica Lee Gudelsky, NP
• Tiffany A Gudger
• Donald Clyde Guernsey, MS LMFT
• Ericka Ann Guernsey
• Katerina Guerrero, MA, LMFT

• Nurse Practitioner in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.
• 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.