Individual provider Active NPI

Gretchen Perry-Emery

  • Family Nurse Practitioner
  • Bloomfield Hills, MI
National Provider Identifier
1811363641
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704196031 Issued in MI
Practice address
2525 S Telegraph Rd Ste 305
Bloomfield Hills, MI 48302-0287
Phone
(248) 601-0234
Fax
(844) 273-8145
NPI assigned
Aug 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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 4704196031 MI Primary

Addresses

Primary practice location

2525 S Telegraph Rd Ste 305
Bloomfield Hills, MI 48302-0287

Mailing address

2525 S Telegraph Rd Ste 305
Bloomfield Hills, MI 48302-0287
Phone (248) 601-0234

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181031000740 MI Practitioner - Nurse Practitioner 6709194681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1990
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2525 S Telegraph Rd
Suite 305
Bloomfield Hills, MI 48302-0287
Phone (248) 601-0234

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fundamental Healing, Inc Family CurrentSince Oct 27, 2019 Accepting new patients

Locations

2525 S Telegraph Rd
Ste 305
Bloomfield Hills, MI 48302
Phone (248) 601-0234

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1811363641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 S TELEGRAPH RD STE 305",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020287",
            "telephone_number": "248-601-0234",
            "fax_number": "844-273-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S TELEGRAPH RD STE 305",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020287",
            "telephone_number": "248-601-0234",
            "fax_number": "844-273-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY-EMERY",
        "first_name": "GRETCHEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704196031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.