NPIMap

Individual provider Active NPI

Maha Gebril

  • Family Nurse Practitioner
  • Holt, MI
National Provider Identifier
1750093308
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704338939 Issued in MI
Practice address
2585 Kate St
Holt, MI 48842-9769
Phone
(517) 703-3771
NPI assigned
Dec 14, 2022
Last updated
Dec 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704338939 MI Primary

Addresses

Primary practice location

2585 Kate St
Holt, MI 48842-9769

Mailing address

2585 Kate St
Holt, MI 48842-9769
Phone (517) 703-3771

Other identifiers 1

IdentifierTypeStateIssuer
4704338939MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230519000732 MI Practitioner - Nurse Practitioner 1456717370 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

23600 Northline Rd
Taylor, MI 48180-4620
Phone (888) 408-7008

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical Michigan PLLC CurrentSince Mar 1, 2026 Accepting new patients
Catholic Charities of Ingham, Eaton & Clinton Counties CurrentSince May 15, 2025 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince Jan 21, 2023 Accepting new patients
Post Acute Medical PLLC CurrentSince Mar 1, 2026 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Sep 17, 2025 Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients
Cristo Rey Community Center Past Accepting new patients

Locations

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

1717 N High St
Lansing, MI 48906
Phone (517) 371-1700

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

1500 Spring St
Petoskey, MI 49770
Phone (231) 344-6600

23600 Northline Rd
Taylor, MI 48180
Phone (734) 287-2840

29800 Hoover Rd
Warren, MI 48093
Phone (586) 574-3444

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: maha.gebril.2@28492.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1750093308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 KATE ST",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488429769",
            "telephone_number": "517-703-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 KATE ST",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488429769",
            "telephone_number": "517-703-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBRIL",
        "first_name": "MAHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704338939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4704338939",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holt, MI

Sources for this page

Verify at the official NPI Registry.