Active NPI
Lisa Gladfelder
- Adult Health Nurse Practitioner
- Novi, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 53-77334
- Practice address
- 41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818 - Phone
- (913) 586-6078
- Fax
- (248) 218-9996
- NPI assigned
- Nov 7, 2016
- Last updated
- Sep 26, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 53-77334 | KS | Primary |
Addresses
Primary practice location
41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818
Mailing address
41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818
Phone (913) 586-6078
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1112 SE Republican Ave
Topeka, KS 66607-1614
Phone (785) 233-0588
7105 Mission Rd
Prairie Village, KS 66208-3000
Phone (248) 660-1220
8675 SE 72ND Ter
Baxter SPGS, KS 66713-3186
Phone (620) 848-3797
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ps127&Jn434, LLC | Current | Accepting new patients | |
| Complexcare Medical Group Kansas M LLC | Current | Accepting new patients | |
| Theoria Medical | Current | Accepting new patients | |
| Theoria Medical | Past | Accepting new patients | |
| Midland Care Physician Services LLC | Past | Accepting new patients |
Locations
605 E Melvin St
Arma, KS 66712
Phone (620) 347-4103
1112 SE Republican Ave
Topeka, KS 66607
Phone (785) 233-0588
2655 SW Wanamaker Rd
Ste H
Topeka, KS 66614
Phone (785) 408-5228
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Topeka, KS
- NPI 1194448548
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hutchinson, KS
- NPI 1922039320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758844800000",
"number": "1992247043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41800 W 11 MILE RD STE 109",
"city": "NOVI",
"state": "MI",
"postal_code": "483751818",
"telephone_number": "913-586-6078",
"fax_number": "248-218-9996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41800 W 11 MILE RD STE 109",
"city": "NOVI",
"state": "MI",
"postal_code": "483751818",
"telephone_number": "913-586-6078",
"fax_number": "248-218-9996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLADFELDER",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-07",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "KS",
"license": "53-77334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.