ALYSSA LYNN GILLETTE (NP) – Family Nurse Practitioner, NPI 1710479415

ALYSSA LYNN GILLETTE (NP) is a healthcare provider. based in Hudsonville, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704301726 (MI). The NPI Number for ALYSSA LYNN GILLETTE (NP) is 1710479415

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ALYSSA LYNN GILLETTE (NP)
NPI
1710479415
Phone
(616) 486-6100
Address
4075 32ND AVE
Enumeration Date
30 May 2018
Last Update Date
1 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163915600
Graduation Year
2018 (8 years ago)
PAC ID
3779835277
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20181011000400
Address ID
MI495084600KE4444XSEXX401

Contacts

Secure Messaging
ajohnson180745@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
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

8,105 NURSE PRACTITIONER in MI

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Provider Addresses for ALYSSA LYNN GILLETTE (NP)

  • Meijer, 4075, 32nd Avenue, Hudsonville, Jamestown Charter Township, Ottawa County, Michigan, 49426, United States

    HUDSONVILLE, MI 49426

    Phone: (616) 486-6100

    Type: Location

  • 15100 WHITTAKER WAY

    GRAND HAVEN, MI 494178696

    Phone: (616) 935-6210

    Fax: (616) 935-6215

    Type: Location

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $114.

Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($114).

Total Amount

$114

General + Research + Ownership

Payments

1

Total payment records

General Amount

$114

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2018-10-11

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
I20181011000400INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9791$0
71046X-ray of chest, 2 views6360$0
99203New patient office or other outpatient visit, 30-44 minutes4141$0
81003Automated urinalysis test3535$0
99214Established patient office or other outpatient visit, 30-39 minutes2928$0
View full utilization report →

Insurance plans in this area (ZIP 49426)

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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: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What unique ID ties claims to ALYSSA LYNN GILLETTE (NP)?
NPI 1710479415 is assigned to ALYSSA LYNN GILLETTE (NP) under the national enumeration system.
Is ALYSSA LYNN GILLETTE (NP)'s NPI currently valid?
The extract we use shows ALYSSA LYNN GILLETTE (NP) as active.
Does ALYSSA LYNN GILLETTE (NP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for ALYSSA LYNN GILLETTE (NP). Clinical services aligned with this taxonomy classification.
What location metadata exists for ALYSSA LYNN GILLETTE (NP)?
The page summarizes Hudsonville, Michigan for ALYSSA LYNN GILLETTE (NP); expand the address list for detail.
Is ALYSSA LYNN GILLETTE (NP) a real provider?
This page reflects official NPPES data for NPI 1710479415. Always confirm identity and privileges with the practice and licensing boards.

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