Gerald Angelo Ciccotelli Jr., RN
NPI 1689388282ActiveIndividual· Registered Nurse, General Practice· Detroit, MI
Registered Nurse, General Practice (RN) in Detroit, Michigan, licensed in MI, with an NPI issued in January 2023.
Overview
| NPI | 1689388282 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN |
| Sole proprietor | Yes |
| NPI issued | Jan 9, 2023 |
| Last updated in NPPES | Jan 9, 2023 |
| Certified by provider | Jan 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse, General Practice Primary | 163WG0000X | 4704187346 | MI |
| Registered Nurse, Emergency | 163WE0003X | 4704187346 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Registered Nurse, General Practice providers in Detroit
- 1346572278
- 1457067571
- 1265170872
- 1801694310
- 1699497297
- 1730296070
- 1265033831
- 1467042002
- 1013699453
- 1356023782
- 1619746146
- 1528794534
All Registered Nurse, General Practice providers in Michigan →