Individual provider Active NPI

Marney Ann McCleskey, FNP

  • Nurse Practitioner
  • Davison, MI
National Provider Identifier
1235872045
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704261462 Issued in MI
Practice address
612 N State Rd
Davison, MI 48423-3505
Phone
(810) 652-6600
NPI assigned
Apr 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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 4704261462 MI Primary

Addresses

Primary practice location

612 N State Rd
Davison, MI 48423-3505

Mailing address

6187 Delhi St
Clarkston, MI 48348-4725
Phone (248) 842-6399

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
I20220513001889 MI Practitioner - Nurse Practitioner 1153708011 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren OaklandGroup PAC ID 0547173213, 51 clinicians

Practice addresses (Care Compare)

5680 Bow Pointe Dr
Suite 202
Clarkston, MI 48346-5407
Phone (248) 922-6610

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704261462MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Flint Nurse Practitioner CurrentSince Dec 23, 2024 Accepting new patients
McLaren Flint CurrentSince Dec 23, 2024 Accepting new patients
Flushing Urgent Care PLC CurrentSince May 6, 2022 Accepting new patients
McLaren Oakland CurrentSince Oct 1, 2025 Accepting new patients
McLaren Oakland CurrentSince Oct 1, 2025 Accepting new patients
McLaren Flint Past Accepting new patients

Locations

8172 Reliable Pkwy
Chicago, IL 60686
Phone (517) 908-0847

5680 Bow Pointe Dr
Ste 202
Clarkston, MI 48346
Phone (248) 922-6650

10090 E Lippincott Blvd
Davison, MI 48423
Phone (810) 653-1130

612 N State Rd
Davison, MI 48423
Phone (810) 652-6600

2420 Owen Rd
Ste A
Fenton, MI 48430
Phone (810) 496-2460

4100 Beecher Rd
Ste B
Flint, MI 48532
Phone (810) 235-8568

1314 S Linden Rd
Ste A
Flint, MI 48532
Phone (810) 342-1700

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1314 S Linden Rd
Flint, MI 48532
Phone (810) 342-1700

2487 N Elms Rd
Flushing, MI 48433
Phone (810) 342-1588

6020 W Pierson Rd
Flushing, MI 48433
Phone (810) 407-7989

2313 E Hill Rd
Grand Blanc, MI 48439
Phone (810) 496-0900

1080 Harrington St
Ste 202
Mount Clemens, MI 48043
Phone (586) 493-3440

385 N Lapeer Rd
Oxford, MI 48371
Phone (248) 628-2597

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

Interoperability endpoints

  • Direct secure messaging: marney.mcclesky@mhmg-mi.direct.office.nextgen.com

Organizations & group practices 7

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1235872045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6187 DELHI ST",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484725",
            "telephone_number": "248-842-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N STATE RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484233505",
            "telephone_number": "810-652-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLESKEY",
        "first_name": "MARNEY",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704261462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davison, MI

Sources for this page

Verify at the official NPI Registry.