Individual provider Active NPI

Megan Wylie

  • Nurse Practitioner
  • Flint, MI
National Provider Identifier
1043012271
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704334392NSA25076 Issued in MI
Practice address
3499 S Linden Rd Ste 2
Flint, MI 48507-3022
Phone
(810) 820-8121
NPI assigned
Mar 26, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704334392NSA25076 MI Primary

Addresses

Primary practice location

3499 S Linden Rd Ste 2
Flint, MI 48507-3022

Mailing address

18000 W 9 Mile Rd Ste 200
Southfield, MI 48075-4020
Phone (248) 336-4000

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
I20251208000604 MI Practitioner - Nurse Practitioner 9638660020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18000 W 9 Mile Rd
Suite 200
Southfield, MI 48075-4020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704334392NSA25076MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Exclusive Physicians PLLC CurrentSince Nov 24, 2025 Accepting new patients

Locations

3051 Momentum Pl
Chicago, IL 60689

4059 W Davison
Detroit, MI 48238
Phone (313) 491-5400

18463 Livernois Ave
Detroit, MI 48221
Phone (313) 369-1500

20901 W 7 Mile Rd
Detroit, MI 48219
Phone (313) 532-2000

21501 Kelly Rd
Eastpointe, MI 48021
Phone (586) 498-9200

911 E 9 Mile Rd
Ferndale, MI 48220
Phone (248) 543-2229

3499 S Linden Rd
Ste 2
Flint, MI 48507
Phone (810) 820-8121

4420 E Davison St
Hamtramck, MI 48212
Phone (313) 334-6711

26300 Woodward Ave
Royal Oak, MI 48067
Phone (248) 546-2110

29829 Telegraph Rd
Ste 202
Southfield, MI 48034
Phone (248) 208-9411

29829 Telegraph Rd
Ste L100
Southfield, MI 48034

18591 W 10 Mile Rd
Southfield, MI 48075
Phone (248) 395-2234

18000 W 9 Mile Rd
Ste 200
Southfield, MI 48075

29829 Telegraph Rd
Ste 200
Southfield, MI 48034
Phone (248) 353-3500

28001 Harper Ave
St Clr Shores, MI 48081
Phone (586) 772-7180

Interoperability endpoints

  • Direct secure messaging: megan.wylie.1@33060.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1043012271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 W 9 MILE RD STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754020",
            "telephone_number": "248-336-4000",
            "fax_number": "248-336-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 S LINDEN RD STE 2",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073022",
            "telephone_number": "810-820-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLIE",
        "first_name": "MEGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704334392NSA25076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.