Gina Fusco Albert, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Kimball, MI
NPI 1962051482 · NPPES record last updated Oct 22, 2021
Key facts
- NPI
- 1962051482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704263594 (MI)
- Practice address
- 5312 Lapeer Rd
Kimball, MI 48074-1424 - Phone
- (810) 984-2693
- NPI assigned
- Sep 6, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191203001879 | MI | Practitioner - Nurse Practitioner | 3678906740 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wadhams Family Care PLLC | Current |
Accepting new patients | |
| Port Huron Mercy Family Care Inc | Past |
Accepting new patients |
Locations
5312 Lapeer Rd
Kimball, MI 48074
Phone (810) 984-2693
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704263594 | MI | Yes |
Addresses
Primary practice location
5312 Lapeer Rd
Kimball, MI 48074-1424
Mailing address
5312 Lapeer Rd
Kimball, MI 48074-1424
Phone (810) 984-2693
Other providers in Kimball, MI
- Mikella M Aikins
- Ronald James Akred Jr.
- Nichole Angerbrandt
- Lindsey Bailey
- Kimberly Barraco
- Blue Lake Counseling PLLC
- Myrna Bautista Booth
All providers in Kimball, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.