NPIMap

Individual provider Active NPI

Gisela Blake

  • Family Nurse Practitioner
  • Mooresville, NC
National Provider Identifier
1831637545
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0117020 Issued in NC
Practice address
112 Argus LN Ste a
Mooresville, NC 28117-9270
Phone
(336) 406-9207
NPI assigned
Feb 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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 F0117020 NC Primary

Addresses

Primary practice location

112 Argus LN Ste a
Mooresville, NC 28117-9270

Mailing address

112 Argus LN Ste a
Mooresville, NC 28117-9270
Phone (336) 406-9207

Other practice location 1

1000 Blythe Blvd
Annex Bldg. 3rd floor
Charlotte, NC 28203-5812
Phone (704) 446-0988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170417002220 NC Practitioner - Nurse Practitioner 3971889437 Reassigns benefits to 2 organizations
I20260602001051 SC Practitioner - Nurse Practitioner 3971889437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Solution PLLCGroup PAC ID 1759630510, 12 clinicians

Practice addresses (Care Compare)

2260 Vista Rd
Fort Mill, SC 29708-7800
Phone (839) 400-2400

338 S Sharon Amity Rd
Suite 326
Charlotte, NC 28211-2806
Phone (704) 502-8570

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F0117020NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
After Hours Urgent Care Center, PLLC CurrentSince Apr 14, 2024 Accepting new patients
Hospitalist Solution, PLLC CurrentSince Sep 3, 2018 Accepting new patients

Locations

1000 Blythe Blvd
Bldg 3RD
Charlotte, NC 28203
Phone (704) 446-0988

338 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 502-8570

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

112 Argus Ln
Ste A
Mooresville, NC 28117
Phone (336) 406-9207

9101 Pineville Matthews Rd
Ste R
Pineville, NC 28134
Phone (704) 253-4400

2260 Vista Rd
Fort Mill, SC 29708
Phone (803) 556-5341

Interoperability endpoints

  • Direct secure messaging: gblake37552@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1831637545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ARGUS LN STE A",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179270",
            "telephone_number": "336-406-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ARGUS LN STE A",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179270",
            "telephone_number": "336-406-9207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Blythe Blvd",
            "address_2": "Annex Bldg. 3rd floor",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282035812",
            "country_code": "US",
            "telephone_number": "704-446-0988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "GISELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F0117020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.