Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chantelle Golota, AGPC-NP

Individual provider Gerontology Nurse Practitioner · NPI 1306554506

Chantelle Golota, AGPC-NP is a Nurse Practitioner in Detroit, Michigan. Qualified in 2022, 4 years ago. Practices with University Physician Group, a 402-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
Specialties on file
2

Practice location Address checks out

4100 John R St
Detroit, MI 48201-2013
Phone: (313) 576-8090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704346114 (MI)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 4704346114 (MI)

Record details

NPI number1306554506
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPC-NP
Sole proprietorNo
NPI enumeratedNovember 7, 2022
Last updated in NPPESApril 19, 2025
Certification dateApril 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice University Physician Group — 402 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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