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

Nicole A Gagliardi, NP

Individual provider Critical Care Medicine Registered Nurse · NPI 1164898722

Nicole A Gagliardi, NP is a Nurse Practitioner in Detroit, Michigan. Qualified in 2015, 11 years ago. Practices with Park Family Health Care PC, a 20-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2015
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

15200 Gratiot
Detroit, MI 48205
Phone: (313) 924-8495
Fax: (313) 924-8472
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704278477 (MI)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 4704278477 (MI)

Record details

NPI number1164898722
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 18, 2015
Last updated in NPPESAugust 21, 2024
Certification dateDecember 16, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Park Family Health Care Pc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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