Individual provider Active NPI

Margaret Wells, CNP

  • Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1265552004
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704195317 Issued in MI
Practice address
5555 Conner Ave.
Suite 2691
Detroit, MI 48213
Phone
(313) 692-8400
Fax
(313) 692-8431
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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 4704195317 MI Primary

Addresses

Primary practice location

5555 Conner Ave.
Suite 2691
Detroit, MI 48213

Mailing address

5555 Conner Ave.
Suite 2691
Detroit, MI 48213
Phone (313) 692-8400

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
I20170404000458 MI Practitioner - Nurse Practitioner 0840519633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Mary Mercy Physician PracticesGroup PAC ID 4587742804, 9 clinicians

Practice addresses (Care Compare)

5555 Conner St
Suite 2691
Detroit, MI 48213-3812
Phone (313) 692-8400

Hospital & facility affiliations

  • St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Mercy Physician Practices Current Accepting new patients
St Mary Mercy Physician Practices CurrentSince Dec 18, 2017 Accepting new patients
St Mary Mercy Physician Practices CurrentSince Dec 18, 2017 Accepting new patients

Locations

5555 Conner St
Ste 2691
Detroit, MI 48213
Phone (313) 579-1182

19000 St Joes Pkwy
Ste 310
Livonia, MI 48152
Phone (248) 743-4490

14555 Levan Rd
Ste 112
Livonia, MI 48154
Phone (734) 712-1000

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1265552004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 CONNER AVE.",
            "address_2": "SUITE 2691",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48213",
            "telephone_number": "313-692-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 CONNER AVE.",
            "address_2": "SUITE 2691",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48213",
            "telephone_number": "313-692-8400",
            "fax_number": "313-692-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704195317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.