Individual provider Active NPI

Mary Ann Myler, FNP-BC

  • Registered Nurse
  • Northville, MI
National Provider Identifier
1265231922
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704354555 Issued in MI
Practice address
16701 Carriage Way
Northville, MI 48168-6501
Phone
(313) 670-5835
NPI assigned
Mar 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704354555 MI Primary

Addresses

Primary practice location

16701 Carriage Way
Northville, MI 48168-6501

Mailing address

16701 Carriage Way
Northville, MI 48168-6501
Phone (313) 670-5835

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
I20250618000226 MI Practitioner - Nurse Practitioner 5395256127 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704354555MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
RPM Care Coordination, PC CurrentSince Mar 30, 2025 Accepting new patients

Locations

507 S Douglas St
Fl 3
El Segundo, CA 90245

1100 Glendon Ave
Ste 1555
Los Angeles, CA 90024
Phone (669) 342-9449

120 N Washington Sq
Ste 300
Lansing, MI 48933
Phone (317) 510-0758

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1265231922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16701 CARRIAGE WAY",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481686501",
            "telephone_number": "313-670-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16701 CARRIAGE WAY",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481686501",
            "telephone_number": "313-670-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYLER",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704354555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

Verify at the official NPI Registry.