MICHAEL GUMBO RN
NPI 1902334584
Nurse Practitioner - Psychiatric/Mental Health in Mount Clemens, MI

Q: What is Michael Gumbo's NPI number?

The NPI number for Michael Gumbo is 1902334584. It was assigned to this individual provider in the NPPES registry on May 26, 2017.

Q: What is Michael Gumbo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Michael Gumbo was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 26, 2017PECOS Enrolled

127 NORTH AVE, MOUNT CLEMENS, MI 48043(269) 240-7881 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 17, 2026, Sep 10, 2025, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

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About Michael Gumbo Rn NPPES

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

MICHAEL GUMBO RN (NPI 1902334584) is an individual psychiatric/mental health provider in Mount Clemens, Michigan, licensed in Michigan (4704273339) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902334584

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMICHAEL GUMBOCredential: RN

Location Address127 NORTH AVEMount Clemens, MI 48043-9717

Mailing Address44695 Bayview Ave Apt 4304Clinton Township, MI 48038-1592 · (269) 240-7881

Phone(269) 240-7881

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMay 26, 2017

Last NPPES UpdateAugust 17, 20264 updates tracked since enumeration

NPPES CertifiedAugust 17, 2026

✔ NPI 1902334584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MI · 4704273339

Also ListedRegistered NurseTaxonomy 163W00000X · License 4704273339 (MI)

127 NORTH AVE, Mount Clemens, MI 48043

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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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Gumbo Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002372992

PECOS Enrollment IDI20260730004544

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

Medicare enrollment records show Michael Gumbo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychplus Associates Of Michigan, PLLC

26 mi

Psychiatry

290 TOWN CENTER DR STE 141
Dearborn, MI 48126

Reassigned Medicare billing, Michigan enrollment
86 clinicians in this Medicare group

NPI 1053172866 (832) 869-4818

Psychplus Medical Associates Of Michigan, PLLC

26 mi

Internal Medicine

290 TOWN CENTER DR STE 141
Dearborn, MI 48126

Reassigned Medicare billing, Michigan enrollment
86 clinicians in this Medicare group

NPI 1851144877 (832) 869-4818

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48043 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 Michael Gumbo's NPI number?

The NPI number for Michael Gumbo is 1902334584. It was assigned to this individual provider in the NPPES registry on May 26, 2017.

Where is Michael Gumbo located?

Michael Gumbo practices at 127 North Ave, Mount Clemens, MI 48043. The listed phone number is (269) 240-7881.

What is Michael Gumbo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Michael Gumbo enrolled in Medicare?

Yes. Michael Gumbo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Gumbo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Gumbo reassigns Medicare benefits to 2 organizations: Psychplus Associates Of Michigan, PLLC (Dearborn, MI) and Psychplus Medical Associates Of Michigan, PLLC (Dearborn, 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 Michael Gumbo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Gumbo accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Michael Gumbo 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.

When was this NPI record last updated?

The NPPES record for Michael Gumbo was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.