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

Lisa Gladfelder

Individual provider Adult Health Nurse Practitioner · NPI 1992247043

Lisa Gladfelder is a Nurse Practitioner in Novi, Michigan. Qualified in 2016, 10 years ago. Practices with Theoria Medical, a 342-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
10
Licensed in
KS
In the registry since
2016
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Practice location Address checks out

41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818
Phone: (913) 586-6078
Fax: (248) 218-9996
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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 53-77334 (KS)

Record details

NPI number1992247043
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 7, 2016
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025
Mailing address41800 W 11 Mile Rd Ste 109, Novi, MI 48375-1818

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Theoria Medical — 342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Novi