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MRS. KRISTEN LEIGH GILBERT APRN, FNP-C
NPI 1407331515
Nurse Practitioner in Tawas City, MI

Active since September 25, 2018PECOS EnrolledAccepts Medicare Assignment
295 MAPLE ST STE 201, TAWAS CITY, MI 48763(989) 754-3000(989) 754-3002 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2025, Mar 22, 2021, Sep 25, 2018 (3 updates tracked since 2018).

About Mrs. Kristen Leigh Gilbert Aprn, Fnp-c NPPES

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

MRS. KRISTEN LEIGH GILBERT APRN, FNP-C (NPI 1407331515) is an individual nurse practitioner in Tawas City, Michigan, licensed in Michigan (4704216629) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center West Branch, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1407331515
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. KRISTEN LEIGH GILBERTCredential: APRN, FNP-C
Location Address295 MAPLE ST STE 201Tawas City, MI 48763-9352
Mailing Address4000 Wellness DrMidland, MI 48670-2000 · (844) 832-1956 · Fax (989) 633-5241
Phone(989) 754-3000
Fax(989) 754-3002
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 25, 2018
Last NPPES UpdateOctober 6, 20253 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1407331515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704216629
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704216629REN17 (MI)
295 MAPLE ST STE 201, Tawas City, MI 48763
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Mrs. Kristen Leigh Gilbert Aprn, Fnp-c 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 ID9537405972
PECOS Enrollment IDI20190107001807
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

5

Medicare enrollment records show Kristen Gilbert reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mymichigan Medical Center Tawas
12 mi
Obstetrics & Gynecology
25 E M 55
Tawas City, MI 48763
  • Reassigned Medicare billing, Michigan enrollment
  • 56 clinicians in this Medicare group
NPI 1235219965 (989) 362-2540
Mymichigan Medical Center Saginaw
41 mi
Orthopaedic Surgery
4701 TOWNE CENTRE RD, SUITE 303
Saginaw, MI 48604
  • Reassigned Medicare billing, Michigan enrollment
  • 125 clinicians in this Medicare group
NPI 1770877995 (989) 790-6719
Sound Inpatient Physicians-Michigan PLLC
57 mi
Internal Medicine
1100 E MICHIGAN AVE
Grayling, MI 49738
  • Reassigned Medicare billing, Michigan enrollment
  • 596 clinicians in this Medicare group
NPI 1639311996 (989) 348-5461
Memorial Hospital
74 mi
General Practice
218 W MAIN ST STE 100
Flushing, MI 48433
  • Reassigned Medicare billing, Michigan enrollment
  • 328 clinicians in this Medicare group
NPI 1144428202 (989) 720-7562
Edward W. Sparrow Hospital Association
99 mi
Family Medicine
13191 SCHAVEY RD, SUITE 3
Dewitt, MI 48820
  • Reassigned Medicare billing, Michigan enrollment
  • 916 clinicians in this Medicare group
NPI 1821041013 (517) 669-9109

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
167 services122 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
132 services111 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
92 services80 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services32 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Mymichigan Medical Center West Branch

Acute Care Hospitals · West Branch, MI
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230095
Location2463 South M-30West Branch, MI 48661 · Ogemaw County
Emergency services Birthing friendly

Tawas St Joseph Hospital

Acute Care Hospitals · Tawas City, MI
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230100
Location200 HemlockTawas City, MI 48764 · Iosco County
Emergency services Birthing friendly

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48763 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier16 claims16 services$91.05 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 services$33.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kristen Gilbert's NPI number?

The NPI number for Kristen Gilbert is 1407331515. It was assigned to this individual provider in the NPPES registry on September 25, 2018.

Where is Kristen Gilbert located?

Kristen Gilbert practices at 295 Maple St Ste 201, Tawas City, MI 48763. The listed phone number is (989) 754-3000.

What is Kristen Gilbert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kristen Gilbert enrolled in Medicare?

Yes. Kristen Gilbert 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 Kristen Gilbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Gilbert reassigns Medicare benefits to 5 organizations: Mymichigan Medical Center Tawas (Tawas City, MI), Mymichigan Medical Center Saginaw (Saginaw, MI), Sound Inpatient Physicians-Michigan PLLC (Grayling, MI), Memorial Hospital (Flushing, MI) and Edward W. Sparrow Hospital Association (Dewitt, MI). 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 Kristen Gilbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristen Gilbert accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Kristen Gilbert 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 Kristen Gilbert affiliated with any hospitals?

According to CMS data, Kristen Gilbert is affiliated with Mymichigan Medical Center West Branch, Tawas St Joseph Hospital and Edward W Sparrow Hospital.

When was this NPI record last updated?

The NPPES record for Kristen Gilbert was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.