Active NPI
Marney Ann McCleskey, FNP
- Nurse Practitioner
- Davison, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704261462
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704261462 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Flint | Nurse Practitioner | Current | Accepting new patients |
| McLaren Flint | Current | Accepting new patients | |
| Flushing Urgent Care PLC | Current | Accepting new patients | |
| McLaren Oakland | Current | Accepting new patients | |
| McLaren Oakland | Current | 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
- 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.
-
- Family Medicine Physician
- Pontiac, MI
- NPI 1053463778
-
dba Convenient Urgent Care
- Urgent Care Clinic/Center
- Flushing, MI
- NPI 1780930016
-
dba McLaren Palliative
- Pain Medicine Physician
- Port Huron, MI
- NPI 1912072349
-
- Social Worker
- Flint, MI
- NPI 1356480685
-
- Psychiatric Hospital Unit
- Pontiac, MI
- NPI 1245817881
-
- Internal Medicine Physician
- Flint, MI
- NPI 1154469229
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1376564088
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
- Kathleen Lucille Mataway, RN, BSN, IBCLC
- Eric Mather, D.C.
- Casey Maul, PT
- Roger Allen Mausolf, PA-C
- Theresa Ann Mays
- Nathanial Paul McKee, D.C.
- McLaren Health Management Group (McLaren Home Health)
- McLaren Health Management Group (McLarenNow)
- McLaren Health Management Group (McLaren CareNow)
- McLaren Health Management Group (McLaren Home Infusion)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.