Individual provider Active NPI

Ann Marie Frances Gabrielson, RN-NP

  • Adult Health Nurse Practitioner
  • Dearborn Heights, MI
National Provider Identifier
1861825242
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704178393 Issued in MI
Practice address
3902 Monroe St
Dearborn Heights, MI 48125-2545
Phone
(313) 562-1985
Fax
(313) 562-0380
NPI assigned
Aug 20, 2013
Last updated
Jan 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704178393 MI Primary

Addresses

Primary practice location

3902 Monroe St
Dearborn Heights, MI 48125-2545

Mailing address

3902 Monroe St
Dearborn Heights, MI 48125-2545
Phone (313) 562-1985

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
I20131231001276 MI Practitioner - Nurse Practitioner 8325276025 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704178393MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Preventive Medicine PC CurrentSince Sep 22, 2020 Accepting new patients

Locations

20870 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 885-2334

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1861825242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 MONROE ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481252545",
            "telephone_number": "313-562-1985",
            "fax_number": "313-562-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 MONROE ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481252545",
            "telephone_number": "313-562-1985",
            "fax_number": "313-562-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIELSON",
        "first_name": "ANN MARIE",
        "middle_name": "FRANCES",
        "name_prefix": "Mrs.",
        "credential": "RN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704178393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

Verify at the official NPI Registry.