Individual provider Active NPI

Gabriella Guzzi Keefe, NP-C

  • Nurse Practitioner
  • Grand Haven, MI
National Provider Identifier
1821673492
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704264776 Issued in MI
Practice address
1600S Beacon Blvd
Grand Haven, MI 49417
Phone
(616) 954-0600
NPI assigned
Mar 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704264776 MI Primary

Addresses

Primary practice location

1600S Beacon Blvd
Grand Haven, MI 49417

Mailing address

PO Box 5450
Carol Stream, IL 60197
Phone (616) 954-0600

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
I20210325002575 MI Practitioner - Nurse Practitioner 1153738711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Mary'S Health ServicesGroup PAC ID 4981500436, 175 clinicians

Practice addresses (Care Compare)

1000 Edison Ave NW
Christian Rest Home
Grand Rapids, MI 49504-3918
Phone (616) 453-2475

1010 Edison Ave NW
Edison Assisted Living Center
Grand Rapids, MI 49504-3918
Phone (616) 453-0581

153 Lakeside Dr NE
Marywood
Grand Rapids, MI 49503-3811
Phone (616) 514-3350

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (616) 685-1835

2121 Raybrook St SE
Holland Home Raybrook
Grand Rapids, MI 49546-5793
Phone (616) 235-5691

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health/Saint Mary'S Medical Group Current Accepting new patients
Advantage Health Saint Mary'S Medical Group CurrentSince May 1, 2022 Accepting new patients
Saint Mary'S Health Services Nurse Practitioner CurrentSince Jul 1, 2022 Accepting new patients
Saint Mary'S Health Services CurrentSince Jul 1, 2022 Accepting new patients
Advantage Health Saint Mary'S Medical Group Nurse Practitioner CurrentSince May 1, 2022 Accepting new patients

Locations

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000

Interoperability endpoints

  • Direct secure messaging: gkeefe1815492@direct.trinity-health.org

Organizations & group practices 5

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": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1821673492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5450",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "60197",
            "telephone_number": "616-954-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600S BEACON BLVD",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "49417",
            "telephone_number": "616-954-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFE",
        "first_name": "GABRIELLA",
        "middle_name": "GUZZI",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704264776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

Verify at the official NPI Registry.