Individual provider Active NPI

Mary Elizabeth Markle, N.P.

  • Family Nurse Practitioner
  • Ann Arbor, MI
National Provider Identifier
1265676233
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704146927 Issued in MI
Practice address
412 Longshore Dr
Ann Arbor, MI 48105-1624
Phone
(734) 995-3200
Fax
(734) 995-4254
NPI assigned
Apr 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704146927 MI Primary

Addresses

Primary practice location

412 Longshore Dr
Ann Arbor, MI 48105-1624

Mailing address

6112 Browns Lake Rd
Jackson, MI 49203-5671
Phone (517) 581-2568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704146927MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bio Energy Medical Center, PC PastSince Nov 16, 2020 Accepting new patients

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": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1265676233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6112 BROWNS LAKE RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492035671",
            "telephone_number": "517-581-2568",
            "fax_number": "517-263-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 LONGSHORE DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051624",
            "telephone_number": "734-995-3200",
            "fax_number": "734-995-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKLE",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704146927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.