Individual provider Active NPI

Marcelli Jade G. Contreras, NP

  • Adult Health Nurse Practitioner
  • Southfield, MI
National Provider Identifier
1033496955
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704202054 Issued in MI
Practice address
26911 Northwestern Hwy Ste 530
Southfield, MI 48033-8425
Phone
(947) 522-0037
Fax
(947) 522-0038
NPI assigned
Nov 5, 2011
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704202054 MI Primary
Registered Nurse 163W00000X 4704202054 MI

Addresses

Primary practice location

26911 Northwestern Hwy Ste 530
Southfield, MI 48033-8425

Mailing address

26911 Northwestern Hwy Ste 530
Southfield, MI 48033-8425
Phone (947) 522-0037

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcontreras1229483@epic00.shdirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160817000049 MI Practitioner - Nurse Practitioner 1052606969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wayne State University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baco Care Services LLCGroup PAC ID 6103286737, 13 clinicians

Practice addresses (Care Compare)

26911 Northwestern Hwy
Suite 530
Southfield, MI 48033-4717
Phone (313) 530-5494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704202054MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baco Care Services LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

26901 Beaumont Blvd
Southfield, MI 48033
Phone (947) 522-1867

26911 Northwestern Hwy
Ste 530
Southfield, MI 48033
Phone (313) 530-5494

Interoperability endpoints

  • Direct secure messaging: mcontreras258695@direct.hfhs.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1320451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1033496955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26911 NORTHWESTERN HWY STE 530",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480338425",
            "telephone_number": "947-522-0037",
            "fax_number": "947-522-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26911 NORTHWESTERN HWY STE 530",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480338425",
            "telephone_number": "947-522-0037",
            "fax_number": "947-522-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "MARCELLI",
        "middle_name": "JADE G.",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-05",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704202054",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704202054",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcontreras1229483@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "26911 Northwestern Hwy Ste 530",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480338425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.