Active NPI
Heather M Gulish, M.S.N., C.U.N.P.
- Nurse Practitioner
- Saint Clair Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704180714
- Practice address
- 20952 E 12 Mile Rd
Suite 200
St Clair Shores, MI 48081-3200 - Phone
- (586) 771-4820
- Fax
- (586) 771-6620
- NPI assigned
- Apr 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704180714 | MI | Primary |
Addresses
Primary practice location
20952 E 12 Mile Rd
Suite 200
St Clair Shores, MI 48081-3200
Mailing address
20952 E 12 Mile Rd
Suite 200
St Clair Shores, MI 48081-3200
Phone (586) 771-4820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500013142 | Other | MI | RAILROAD MEDICARE |
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, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20952 E 12 Mile Rd
Suite 200
Saint Clair Shores, MI 48081-3203
Phone (586) 771-4820
5701 Bow Pointe Dr
Suite 250
Clarkston, MI 48346-5405
Phone (248) 620-6660
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.86 of 100
- Quality
- 81.01
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704180714 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Institute of Urology PC | Current | Accepting new patients | |
| Alliance Physician Services of Michigan, P.C. | Nurse Practitioner | Current | Accepting new patients |
| Alliance Physician Services of Michigan, P.C. | Nurse Practitioner | Current | Accepting new patients |
Locations
5701 Bow Pointe Dr
Ste 250
Clarkston, MI 48346
Phone (248) 620-6660
20952 E 12 Mile Rd
Ste 200
St Clr Shores, MI 48081
Phone (586) 771-4820
11051 Hall Rd
Ste 200
Utica, MI 48317
Phone (586) 254-5759
Organizations & group practices 3
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 Michigan Institute of Urology
- Durable Medical Equipment & Medical Supplies
- West Bloomfield, MI
- NPI 1194807693
Nurse Practitioner
-
dba Michigan Institute of Urology
- Urology Physician
- Saint Clair Shores, MI
- NPI 1427027416
Nurse Practitioner
-
dba Michigan Institute of Urology
- Durable Medical Equipment & Medical Supplies
- Utica, MI
- NPI 1922999051
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Joseph Mercy Oakland
- General Acute Care Hospital
- Pontiac, MI
- NPI 1053356352
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217203200000",
"number": "1679538318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20952 E 12 MILE RD",
"address_2": "SUITE 200",
"city": "ST CLAIR SHORES",
"state": "MI",
"postal_code": "480813200",
"telephone_number": "586-771-4820",
"fax_number": "586-771-6620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20952 E 12 MILE RD",
"address_2": "SUITE 200",
"city": "ST CLAIR SHORES",
"state": "MI",
"postal_code": "480813200",
"telephone_number": "586-771-4820",
"fax_number": "586-771-6620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULISH",
"first_name": "HEATHER",
"middle_name": "M",
"credential": "M.S.N., C.U.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-18",
"last_updated": "2008-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704180714",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "500013142",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.