Individual provider Active NPI

Lisa Gladfelder

  • Adult Health Nurse Practitioner
  • Novi, MI
National Provider Identifier
1992247043
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
53-77334 Issued in KS
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161110000797 KS Practitioner - Nurse Practitioner 8729367990 Reassigns benefits to 3 organizations

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
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians
Complexcare Medical Group Kansas M LLCGroup PAC ID 5193206845, 4 clinicians

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

OrganizationSpecialtyStatusNew patients
Ps127&Jn434, LLC CurrentSince Mar 17, 2018 Accepting new patients
Complexcare Medical Group Kansas M LLC CurrentSince Jan 18, 2026 Accepting new patients
Theoria Medical CurrentSince Jun 25, 2025 Accepting new patients
Theoria Medical Past Accepting new patients
Midland Care Physician Services LLC PastSince Mar 17, 2018 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.