Individual provider Active NPI

Mary G Marji, FNP-C

  • Family Nurse Practitioner
  • Grosse Pointe, MI
National Provider Identifier
1356700645
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704271592 Issued in MI
Practice address
17120 Kercheval Ave
Grosse Pointe, MI 48230-1661
Phone
(313) 886-3300
NPI assigned
Feb 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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 4704271592 MI Primary

Addresses

Primary practice location

17120 Kercheval Ave
Grosse Pointe, MI 48230-1661

Mailing address

17120 Kercheval Ave
Grosse Pointe, MI 48230-1661
Phone (313) 886-3300

Other practice location 1

17120 Kercheval Ave
Grosse Pointe, MI 48230-1661
Phone (313) 886-3300

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
I20160411000211 MI Practitioner - Nurse Practitioner 9234437153 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Michigan PCGroup PAC ID 9133123755, 40 clinicians

Practice addresses (Care Compare)

17120 Kercheval Ave
Grosse Pointe, MI 48230-1661
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (18 of 21)

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Michigan PC Family CurrentSince Oct 6, 2025 Accepting new patients
Harper Urgent Care PLLC CurrentSince Jul 1, 2022 Accepting new patients
Elizabeth Lake Urgent Care PLLC CurrentSince Dec 26, 2020 Accepting new patients
Royal Urgent Care, PLLC CurrentSince Dec 26, 2020 Accepting new patients
Somerset Urgent Care PLLC CurrentSince Dec 26, 2020 Accepting new patients
Shelby Urgent Care PC CurrentSince May 1, 2022 Accepting new patients
Somerset Urgent Care PLLC CurrentSince Dec 26, 2020 Accepting new patients
Shelby Urgent Care PC Current Accepting new patients
Howell Urgent Care PLLC CurrentSince Dec 4, 2023 Accepting new patients
Lakeside Urgent Care, P.C. CurrentSince Mar 4, 2016 Accepting new patients
Mound Urgent Care PLLC CurrentSince Jul 1, 2022 Accepting new patients
Lakeside Urgent Care, P. C. CurrentSince Mar 4, 2016 Accepting new patients
Minuteclinic Primary Care-Michigan PLLC Family CurrentSince Oct 6, 2025 Accepting new patients
Romeo Plank Urgent Care PLLC CurrentSince Apr 1, 2022 Accepting new patients
Oxford Urgent Care P L C CurrentSince Feb 17, 2016 Accepting new patients
Washington Urgent Care, PLLC CurrentSince May 7, 2021 Accepting new patients
First Choice Urgent Care PC PastSince Dec 26, 2020 Accepting new patients
Oxford Urgent Care, LLC Past Accepting new patients

Locations

44472 Hayes Rd
Clinton Twp, MI 48038
Phone (586) 412-0890

17120 Kercheval Ave
Grosse Pointe, MI 48230
Phone (313) 886-3300

1225 S Latson Rd
Ste 130
Howell, MI 48843
Phone (517) 338-2360

18200 23 Mile Rd
Macomb, MI 48044
Phone (586) 992-5500

44300 5 Mile Rd
Northville, MI 48168
Phone (734) 416-1883

39350 9 Mile Rd
Northville Township, MI 48167
Phone (248) 735-6081

72 S Washington St
Ste 102
Oxford, MI 48371
Phone (248) 236-8333

2708 S Rochester Rd
Ste A
Rochester Hills, MI 48307
Phone (248) 309-3344

2632 S Rochester Rd
Unit 70747
Rochester Hills, MI 48307

4080 Crooks Rd
Royal Oak, MI 48073
Phone (248) 280-1080

51850 Dequindre Rd
Ste 1
Shelby Township, MI 48316
Phone (586) 799-4082

25515 Harper Ave
St Clr Shores, MI 48081
Phone (248) 850-8395

25515 Harper Ave
#U
St Clr Shores, MI 48081
Phone (248) 850-8395

1500 W Big Beaver Rd
Ste 104
Troy, MI 48084
Phone (248) 649-4444

31200 Mound Rd
Warren, MI 48092
Phone (248) 850-8395

7701 26 Mile Rd
Washington, MI 48094
Phone (586) 935-4000

57850 Van Dyke Rd
Ste 100
Washington Twp, MI 48094
Phone (586) 203-2020

2446 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 309-3344

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1356700645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17120 KERCHEVAL AVE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301661",
            "telephone_number": "313-886-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17120 KERCHEVAL AVE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301661",
            "telephone_number": "313-886-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17120 Kercheval Ave",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe",
            "state": "MI",
            "postal_code": "482301661",
            "country_code": "US",
            "telephone_number": "313-886-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARJI",
        "first_name": "MARY",
        "middle_name": "G",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704271592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe, MI

Sources for this page

Verify at the official NPI Registry.