KARISSA MARIE BASSETT GAWRONSKI MD
NPI 1811568439
Student in an Organized Health Care Education/Training Program in Flint, MI

Q: What is Karissa Gawronski's NPI number?

The NPI number for Karissa Gawronski is 1811568439. It was assigned to this individual provider in the NPPES registry on July 6, 2021.

Q: What is Karissa Gawronski's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Karissa Gawronski was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 06, 2021PECOS Enrolled

401 S BALLENGER HWY OFC 7N, FLINT, MI 48532(810) 342-2000(810) 342-3659 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2023, Jul 6, 2021 (2 updates tracked since 2021).

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About Karissa Marie Bassett Gawronski Md NPPES

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

KARISSA MARIE BASSETT GAWRONSKI MD (NPI 1811568439) is an individual student in an organized health care education/training program in Flint, Michigan, licensed in Michigan (4351051748) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811568439

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKARISSA MARIE BASSETT GAWRONSKICredential: MD

Location Address401 S BALLENGER HWY OFC 7NFlint, MI 48532-3638

Mailing Address401 S Ballenger Hwy Ofc 7nFlint, MI 48532-3638 · (810) 342-2000 · Fax (810) 342-3659

Phone(810) 342-2000

Fax(810) 342-3659

Sole ProprietorNo

Enumeration DateJuly 6, 2021

Last NPPES UpdateJune 6, 20232 updates tracked since enumeration

NPPES CertifiedJune 6, 2023

✔ NPI 1811568439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MI · 4351051748

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

401 S BALLENGER HWY OFC 7N, Flint, MI 48532

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karissa Marie Bassett Gawronski Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 19

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

BRITANNY HAMAMA MD