NPIMap

Individual provider Active NPI

Mark D. Wilkerson, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Flint, MI
National Provider Identifier
1023114287
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
4301063412 Issued in MI
Practice address
1 Hurley PLZ
Flint, MI 48503-5902
Phone
(810) 262-9429
Fax
(810) 262-9229
NPI assigned
Sep 15, 2006
Last updated
Jul 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 4301063412 MI Primary

Addresses

Primary practice location

1 Hurley PLZ
Flint, MI 48503-5902

Mailing address

1 Hurley PLZ
5TH Floor S.O.N.
Flint, MI 48503-5902
Phone (810) 262-9353

Other identifiers 2

IdentifierTypeStateIssuer
3423682MedicaidMI
0B51090OtherMIBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100615000082 MI Practitioner - Emergency MedicinePractitioner - Family Practice 3870623036 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wayne State University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amd Urgent Medical Care, PLLCGroup PAC ID 6608021738, 5 clinicians
Amd Urgent Care FentonGroup PAC ID 1658752597, 3 clinicians
MD Enterprises PLLCGroup PAC ID 8729363445, 3 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians
Urgent Care of Milford PLLCGroup PAC ID 5991079402, 2 clinicians
Ppsmg Urgent Medical Care PLLCGroup PAC ID 9234362005, 3 clinicians

Practice addresses (Care Compare)

11307 N Linden Rd
Suite B
Clio, MI 48420-8589
Phone (810) 564-7995

1455 N Leroy St
Fenton
Fenton, MI 48430-2763
Phone (810) 546-7995

1477 S State Rd
Unit a
Davison, MI 48423-1911
Phone (810) 564-7995

2325 Rockwell Dr
Midland, MI 48642-9325
Phone (989) 898-9664

255 Mayer Rd
Frankenmuth, MI 48734-1358
Phone (989) 349-0016

4775 Village Dr
Grand Ledge, MI 48837-8107
Phone (517) 412-2240

600 Highland Ave
Milford, MI 48381-1518
Phone (248) 714-9925

7070 Miller Rd
Suite a
Swartz Creek, MI 48473-1591
Phone (810) 533-1468

7070 Miller Rd a
Swartz Creek, MI 48473-1591

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93 of 100Reported as group
Quality
100
Improvement activities
40
Cost
60

Merit-based Incentive Payment System (MIPS)

Final score
92.4 of 100Reported as group
Quality
66.97
Promoting interoperability
100
Improvement activities
40
Cost
75.88

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Amd Urgent Medical Care, PLLC CurrentSince Mar 5, 2013 Accepting new patients
Amd Urgent Care Fenton CurrentSince Jun 1, 2022 Accepting new patients
Advanced Medical House Calls, PLC CurrentSince May 1, 2013 Accepting new patients
Hurley Medical Center Current Accepting new patients
MD Enterprises PLLC CurrentSince Feb 1, 2017 Accepting new patients
Hurley Medical Center CurrentSince Jan 1, 1998 Accepting new patients
Ppsmg Urgent Medical Care, PLLC CurrentSince May 1, 2014 Accepting new patients
Hurley Medical Center CurrentSince Jan 1, 1998 Accepting new patients
Pathology Associates Inc PC Current Accepting new patients
Hurley Medical Center Current Accepting new patients
Amd Primary Care, PLLC PastSince Jul 21, 2015 Accepting new patients

Locations

11307 N Linden Rd
Ste B
Clio, MI 48420
Phone (810) 533-1468

1477 S State Rd
Davison, MI 48423
Phone (799) 581-0564

1477 S State Rd
#A
Davison, MI 48423
Phone (810) 564-7995

14165 N Fenton Rd
Ste 201A
Fenton, MI 48430
Phone (810) 853-5875

1451 N Leroy St
Fenton, MI 48430
Phone (810) 564-7995

700 N Leroy St
Fenton, MI 48430
Phone (810) 853-5875

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

1 Hurley Plz
Fl 5
Flint, MI 48503
Phone (810) 262-9353

8359 Office Park Dr
Grand Blanc, MI 48439
Phone (877) 347-7978

7070 Miller Rd
Ste A
Swartz Creek, MI 48473
Phone (810) 533-1468

Interoperability endpoints

  • Direct secure messaging: mwilkerson4385@direct.hurleymc.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1023114287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLZ",
            "address_2": "5TH FLOOR S.O.N.",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035902",
            "telephone_number": "810-262-9353",
            "fax_number": "810-760-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLZ",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035902",
            "telephone_number": "810-262-9429",
            "fax_number": "810-262-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "MARK",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "4301063412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3423682",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0B51090",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.