Kelly Gamache, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704243701 Issued in MI

Practice address

2265 S Linden Rd
Flint, MI 48532

Phone

(810) 720-8700

NPI assigned

Feb 20, 2015

Last updated

May 14, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

J Flack PSYD PCGroup PAC ID 0547426264, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• J Flack PSYD PC

  dba Fenton Wellness

  • Psychologist
  • Fenton, MI
  • NPI 1770859001
  Medicare reassignment Care Compare group NPD
• Silver Lake Family Practice PLLC

  • Family Medicine Physician
  • Fenton, MI
  • NPI 1124208608
  Medicare reassignment NPD
• Fenton Wellness

  dba Jennifer Flack

  • Psychologist
  • Fenton, MI
  • NPI 1386964278
  NPD (past)
• Ebi, LLC

  • Durable Medical Equipment & Medical Supplies
  • Parsippany, NJ
  • NPI 1366423220
  NPD (past)

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1881086346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 LYDIA LN",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484518834",
            "telephone_number": "810-735-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48532",
            "telephone_number": "810-720-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMACHE",
        "first_name": "KELLY",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-20",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704243701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Gallant
• Vanesa Galley, CNP-PC
• Brittany Galloway
• Ryan Galloway
• Lindsey Galvas-Mohr, LLBSW
• Sara Gambina
• Ashley Gammon
• Kristina Andrea Gammon
• Anusoumya Ganapathy, MD
• Kenneth Allen Ganapini, DO

• Nurse Practitioner in Flint, MI
• Providers in Flint, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.