MRS. MICHELLE MARIE GENTRY (FNP-BC) – Family Nurse Practitioner, NPI 1336473230

MRS. MICHELLE MARIE GENTRY (FNP-BC) is a healthcare provider. based in Grand rapids, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 4704165818 (MI). The NPI Number for MRS. MICHELLE MARIE GENTRY (FNP-BC) is 1336473230

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MICHELLE MARIE GENTRY (FNP-BC)
NPI
1336473230
Phone
Not provided
Address
100 MICHIGAN ST NE # MC845
Enumeration Date
24 September 2009
Last Update Date
26 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
3476693508
Group Practice PAC ID
3678543659
Professional Enrollment ID
I20091221000333
Address ID
MI494311953LU7XXXXDRXX300

Contacts

Secure Messaging
mgentry117130@epic00.shdirect.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for MRS. MICHELLE MARIE GENTRY (FNP-BC)

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 5, North Atkinson Drive, Ludington, Mason County, Michigan, 49431, United States

    SUITE 2013

    LUDINGTON, MI 494312918

    Phone: (231) 845-5992

    Fax: (231) 843-1931

    Type: Location

  • 7 ATKINSON DR STE 200

    LUDINGTON, MI 494311917

    Phone: (231) 843-6767

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $36.

Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.

Last reported payment date: 2023-05-08 • Largest payer in this snapshot: ABBVIE INC. ($25).

Total Amount

$36

General + Research + Ownership

Payments

2

Total payment records

General Amount

$36

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-12-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091221000333INurse PractitionerMITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678543659View full group profile
NameSpecialtyState
Orthopedic SurgeryMI
Physician AssistantMI
Internal MedicineMI
Orthopedic SurgeryMI
Physician AssistantMI
Nurse PractitionerMI
U R O L O G YMI
Family PracticeMI
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. MICHELLE MARIE GENTRY (FNP-BC)?
MRS. MICHELLE MARIE GENTRY (FNP-BC) — NPI 1336473230 — is the standard way to identify this listing.
Is MRS. MICHELLE MARIE GENTRY (FNP-BC) listed as active for patients and plans?
The listing shows MRS. MICHELLE MARIE GENTRY (FNP-BC) as active in the NPI system.
What healthcare role does MRS. MICHELLE MARIE GENTRY (FNP-BC) hold?
Scheduling teams often label MRS. MICHELLE MARIE GENTRY (FNP-BC) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MRS. MICHELLE MARIE GENTRY (FNP-BC) based?
MRS. MICHELLE MARIE GENTRY (FNP-BC) is tied to Grand Rapids, Michigan in the data we show; additional addresses may exist on the full record.
Is the information about MRS. MICHELLE MARIE GENTRY (FNP-BC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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