HEATHER M GULISH M.S.N., C.U.N.P.
NPI 1679538318
Nurse Practitioner in St Clair Shores, MI

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
97.45/100
CMS Quality Rating
20952 E 12 MILE RD, SUITE 200, ST CLAIR SHORES, MI 48081(586) 771-4820(586) 771-6620 Get Directions Write a Review

NPPES record last updated: July 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heather M Gulish M.s.n., C.u.n.p. NPPES

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

HEATHER M GULISH M.S.N., C.U.N.P. (NPI 1679538318) is an individual nurse practitioner in St Clair Shores, Michigan, licensed in Michigan (4704180714) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Oakland Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1679538318
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHEATHER M GULISHCredential: M.S.N., C.U.N.P.
Location Address20952 E 12 MILE RD, SUITE 200St Clair Shores, MI 48081-3200
Mailing Address20952 E 12 Mile Rd, Suite 200St Clair Shores, MI 48081-3200 · (586) 771-4820 · Fax (586) 771-6620
Fax(586) 771-6620
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateApril 18, 2006
Last NPPES UpdateJuly 28, 2008
NPI 1679538318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MI · 4704180714
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.
20952 E 12 MILE RD, St Clair Shores, MI 48081

Other Identifiers 4

Medicare UPINP16868MI
Other500013142MI · Railroad Medicare
Medicare NSC0219690001MI
Medicare PINP12960001MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Heather M Gulish M.s.n., C.u.n.p. 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 ID9739129826
PECOS Enrollment IDI20050509000347
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.

Areas of Expertise CMS Part B claims 4

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
92 services63 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.
32 services29 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
27 services25 patients
Fitting and insertion of vaginal support device 57160
A vaginal support device is a medical tool used to provide support to pelvic organs. During the procedure, a healthcare professional will gently place the device into the appropriate area. This is typically done in a clinical setting and can help with various health conditions.
22 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230029
Location44405 Woodward AvePontiac, MI 48341 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48081 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability97
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each A4340
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$23.70 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers16 claims1,980 services$5.19 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
3 suppliers12 claims56 services$9.37 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
3 suppliers14 claims70 services$5.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
20952 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081
Physical Therapist
20952 E 12 MILE RD, SUITE 110
SAINT CLAIR SHORES, MI 48081
Urology
20952 E 12 MILE RD, SUITE 200
ST CLAIR SHORES, MI 48081
Urology
20952 E 12 MILE RD, SUITE 200
ST CLAIR SHORES, MI 48081
Urology
20952 E 12 MILE RD, SUITE 200
SAINT CLAIR SHORES, MI 48081
Physical Therapist
20952 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081
Urology
20952 E 12 MILE RD, SUITE 200
SAINT CLAIR SHORES, MI 48081
Specialist
20952 E 12 MILE RD, SUITE 150
ST CLAIR SHORES, MI 48081

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 Heather Gulish's NPI number?

The NPI number for Heather Gulish is 1679538318. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Heather Gulish located?

Heather Gulish practices at 20952 E 12 Mile Rd Suite 200, St Clair Shores, MI 48081. The listed phone number is (586) 771-4820.

What is Heather Gulish's specialty?

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

Is Heather Gulish enrolled in Medicare?

Yes. Heather Gulish 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.

What insurance does Heather Gulish 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 and 2 other insurers list Heather Gulish 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 Heather Gulish affiliated with any hospitals?

According to CMS data, Heather Gulish is affiliated with Trinity Health Oakland Hospital, Beaumont Hospital - Grosse Pointe and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Heather Gulish was last updated on July 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.