Individual provider Active NPI

Michelle Gilley, CPM, LM, CDM

  • Midwife
  • Wasilla, AK
National Provider Identifier
1922466119
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
214720 Issued in AK
Practice address
6851 Van Gorder Dr
Wasilla, AK 99623
Phone
(907) 231-7877
Fax
(907) 231-7877
NPI assigned
Feb 3, 2016
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MIDW0020 OK
Midwife 176B00000X 214720 AK Primary

Addresses

Primary practice location

6851 Van Gorder Dr
Wasilla, AK 99623

Mailing address

Mosaic Midwifery, LLC, 4900 E Palmer-Wasilla Hwy
Ste 106 PMB 704
Wasilla, AK 99654-5915
Phone (405) 532-4067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
214720AKMDMidwife
MIDW0020OKMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1922466119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MOSAIC MIDWIFERY, LLC, 4900 E PALMER-WASILLA HWY",
            "address_2": "STE 106 PMB 704",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996545915",
            "telephone_number": "405-532-4067",
            "fax_number": "907-231-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 VAN GORDER DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99623",
            "telephone_number": "907-231-7877",
            "fax_number": "907-231-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEY",
        "first_name": "MICHELLE",
        "credential": "CPM, LM, CDM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OK",
            "license": "MIDW0020",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AK",
            "license": "214720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.