Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emma Elise Fillmore, AGPCNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1114870599

Emma Elise Fillmore, AGPCNP-BC is a Nurse Practitioner in Detroit, Michigan. Graduated from Oakland Univ, William Beaumont School of Medicine in 2025, 1 year ago. Licensed in Michigan.

Years since qualifying
1
Trained at
Oakland Univ, William Beaumont School of Medicine
Licensed in
MI
In the registry since
2026
Specialties on file
2
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Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 4704374723 (MI)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 2025063454 (MI)

Record details

NPI number1114870599
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedFebruary 17, 2026
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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