| Lisa Gladfelder, | |
|
41800 W 11 Mile Rd Ste 109, Novi, MI 48375-1818 | |
| (913) 586-6078 | |
| (248) 218-9996 |
| Full Name | Lisa Gladfelder |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 41800 W 11 Mile Rd Ste 109, Novi, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992247043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 53-77334 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hutchinson Regional Medical Center Inc | Hutchinson, KS | Hospital |
| Nmc Health | Newton, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Theoria Medical | 5395098339 | 317 |
| Complexcare Medical Group Kansas M Llc | 5193206845 | 4 |
| Entity Name | Ps127&jn434 LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134420821 PECOS PAC ID: 3173702883 Enrollment ID: O20110127000480 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20240925002329 |
| Entity Name | Complexcare Medical Group Kansas M LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538042338 PECOS PAC ID: 5193206845 Enrollment ID: O20260220003263 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Gladfelder, 41800 W 11 Mile Rd Ste 109, Novi, MI 48375-1818 Ph: (913) 586-6078 | Lisa Gladfelder, 41800 W 11 Mile Rd Ste 109, Novi, MI 48375-1818 Ph: (913) 586-6078 |
Ashley H Edmonds, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41850 W 11 Mile Rd Ste 202, Novi, MI 48375 Phone: 810-429-7859 |
Denver Moses, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41800 W 11 Mile Rd Ste 109, Novi, MI 48375 Phone: 248-660-1220 |
Jonathan Michael Fleezanis, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39500 W 10 Mile Rd Ste 100, Novi, MI 48375 Phone: 248-476-0035 |
Kacie Lynn Christensen, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 26750 Providence Pkwy, Novi, MI 48374 Phone: 248-679-8000 |
Sydney Krenz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 47601 Grand River Ave, Novi, MI 48374 Phone: 248-465-4100 |
Lydia Mayes Washington, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41800 W 11 Mile Rd Ste 109, Novi, MI 48375 Phone: 704-637-1182 |
Jessica Dikhow, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26090 Lannys Road, Novi, MI 48375 Phone: 248-200-9420 |