Individual provider Active NPI

Anilda Gjergji, DNP, FNP, PMHNP

  • Nurse Practitioner
  • Bloomfield Hills, MI
National Provider Identifier
1821679200
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704335610 Issued in MI
Practice address
1750 S Telegraph Rd Ste 101
Bloomfield Hills, MI 48302-0177
Phone
(586) 477-8039
NPI assigned
Apr 18, 2021
Last updated
May 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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 4704335610 MI Primary

Addresses

Primary practice location

1750 S Telegraph Rd Ste 101
Bloomfield Hills, MI 48302-0177

Mailing address

1750 S Telegraph Rd Ste 101
Bloomfield Hills, MI 48302-0177
Phone (586) 477-8039

Other practice location 1

29519 Harper Ave
Saint Clair Shores, MI 48081-1275
Phone (586) 477-8039

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
I20210909000505 MI Practitioner - Nurse Practitioner 0345646857 Reassigns benefits to 1 organization

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
Premier Vascular Associates PLLCGroup PAC ID 0042430548, 4 clinicians

Practice addresses (Care Compare)

25350 Kelly Rd
Suite a
Roseville, MI 48066-5824
Phone (586) 270-5100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Mar 17, 2023 Accepting new patients
Vpa PC CurrentSince Mar 17, 2023 Accepting new patients
Premier Vascular Associates, PLLC CurrentSince Aug 1, 2021 Accepting new patients
New Image Body and Wellness Clinic, PC Past Accepting new patients
Oakland Health Associate of Waterford Clarkston PastSince Apr 19, 2025 Accepting new patients

Locations

20905 E 12 Mile Rd
Ste 100
Roseville, MI 48066
Phone (586) 772-3500

25350 Kelly Rd
Roseville, MI 48066
Phone (586) 270-5100

25350 Kelly Rd
Ste A
Roseville, MI 48066

29519 Harper Ave
St Clr Shores, MI 48081
Phone (313) 333-7372

500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060

Interoperability endpoints

  • Direct secure messaging: agjergji1130137@direct.hfhs.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, 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": "1618704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1821679200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 S TELEGRAPH RD STE 101",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020177",
            "telephone_number": "586-477-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 S TELEGRAPH RD STE 101",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020177",
            "telephone_number": "586-477-8039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29519 Harper Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Clair Shores",
            "state": "MI",
            "postal_code": "480811275",
            "country_code": "US",
            "telephone_number": "586-477-8039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GJERGJI",
        "first_name": "ANILDA",
        "credential": "DNP, FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-18",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704335610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.