NICOLE A GAGLIARDI NP
NPI 1164898722
Nurse Practitioner - Family in Detroit, MI

Active since August 18, 2015PECOS EnrolledAccepts Medicare Assignment
15200 GRATIOT, DETROIT, MI 48205(313) 924-8495(313) 924-8472 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 21, 2024, Dec 16, 2023, Jan 3, 2017 (3 updates tracked since 2017).

About Nicole A Gagliardi Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE A GAGLIARDI NP (NPI 1164898722) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704278477) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164898722
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE A GAGLIARDICredential: NP
Location Address15200 GRATIOTDetroit, MI 48205
Mailing Address15200 GratiotDetroit, MI 48205 · (313) 924-8495 · Fax (313) 924-8472
Fax(313) 924-8472
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 18, 2015
Last NPPES UpdateAugust 21, 20243 updates tracked since enumeration
NPPES CertifiedDecember 16, 2023
✔ NPI 1164898722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704278477
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 4704278477 (MI)
15200 GRATIOT, Detroit, MI 48205

Other Names 1

Former Name (1)Nicole A Mokrzycki

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole A Gagliardi Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305146457
PECOS Enrollment IDI20151123001011
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

14

Medicare enrollment records show Nicole Gagliardi reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
12871 E JEFFERSON AVE
Detroit, MI 48215
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Park Family Health Care PC
  • 30 clinicians in this Medicare group
Family Medicine
37150 S GRATIOT AVE
Clinton Township, MI 48036
  • Reassigned Medicare billing, Michigan enrollment
  • 91 clinicians in this Medicare group
Urgent Care
43722 SCHOENHERR RD
Sterling Heights, MI 48313
  • Reassigned Medicare billing, Michigan enrollment
  • 86 clinicians in this Medicare group
Urgent Care
2161 18 MILE RD
Sterling Heights, MI 48314
  • Reassigned Medicare billing, Michigan enrollment
  • 64 clinicians in this Medicare group
Urgent Care
1933 W MAPLE RD
Troy, MI 48084
  • Reassigned Medicare billing, Michigan enrollment
  • 63 clinicians in this Medicare group
Urgent Care
29405 GREENFIELD RD
Southfield, MI 48076
  • Reassigned Medicare billing, Michigan enrollment
  • 51 clinicians in this Medicare group
Family Medicine
46965 VAN DYKE AVE
Shelby Twp, MI 48317
  • Reassigned Medicare billing, Michigan enrollment
  • 92 clinicians in this Medicare group
Internal Medicine
29201 TELEGRAPH RD STE 404N
Southfield, MI 48034
  • Reassigned Medicare billing, Michigan enrollment
  • 407 clinicians in this Medicare group
Family Medicine
28212 FRANKLIN RD
Southfield, MI 48034
  • Reassigned Medicare billing, Michigan enrollment
  • 61 clinicians in this Medicare group
Urgent Care
51160 GRATIOT AVE
Chesterfield, MI 48051
  • Reassigned Medicare billing, Michigan enrollment
  • 89 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Gagliardi's NPI number?

The NPI number for Nicole Gagliardi is 1164898722. It was assigned to this individual provider in the NPPES registry on August 18, 2015. The provider is also known as Nicole A Mokrzycki.

Where is Nicole Gagliardi located?

Nicole Gagliardi practices at 15200 Gratiot, Detroit, MI 48205. The listed phone number is (313) 924-8495.

What is Nicole Gagliardi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Gagliardi enrolled in Medicare?

Yes. Nicole Gagliardi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nicole Gagliardi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Gagliardi reassigns Medicare benefits to 14 organizations: Park Family Health Care, P.C. (Detroit, MI), Clinton Urgent Care Walk-In Clinic (Clinton Township, MI), Sterling Heights Urgent Care Walk-In Clinic (Sterling Heights, MI), Doctors Urgent Care Sterling Heights West (Sterling Heights, MI), Doctors Urgent Care Troy West PC (Troy, MI) and 9 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Gagliardi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Gagliardi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Nicole Gagliardi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicole Gagliardi affiliated with any hospitals?

According to CMS data, Nicole Gagliardi is affiliated with Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Gagliardi was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.