JENNIFER M GIDEON (FNP) – Family Nurse Practitioner, NPI 1104272160
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JENNIFER M GIDEON (FNP)
Harper Professional Building, 4160, John R Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States
STE 917
DETROIT, MI 482012020
Phone: (313) 745-4525
Fax: (313) 745-0011
Type: Mailing
1560, East Maple Road, Troy, Oakland County, Michigan, 48083, United States
SUITE 400 - CREDENTIALING
TROY, MI 480831138
Phone: (313) 745-4525
Fax: (313) 745-0011
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-07-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160706000859 | I | Nurse Practitioner | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 94 | 94 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 80 | 76 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 30 | 30 | $0 |
| G9483 | Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a detailed history; a detailed examination; medical decision mak | 23 | 23 | $0 |
Insurance plans in this area (ZIP 48201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Nurse Practitioner | MI | |
| Cardiovascular Disease (Cardiology) | MI | |
| H O S P I T A L I S T | MI | |
| - | MI | |
| Pulmonary Disease, Internal Medicine, Critical Care (Intensivists) | MI | |
| Internal Medicine, Infectious Disease | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Pulmonary Disease, Critical Care (Intensivists) | MI | |
| O P H T H A L M O L O G Y | PA |
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