John Westley Mailey Jr., NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

4704199755 Issued in MI

Practice address

27645 Albert St
Novi, MI 48374-1012

Phone

(313) 310-6761

NPI assigned

Aug 18, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Family Medicine and Urgent CareGroup PAC ID 4981949179, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• John-Angella-Regina Primary Care and Wellness

  • Registered Nurse
  • Novi, MI
  • NPI 1659129161
  Medicare reassignment NPD Authorized official
• Michigan Family Medicine and Urgent Care

  • Family Medicine Physician
  • Dewitt, MI
  • NPI 1497225403
  Medicare reassignment Care Compare group NPD
• Sciometrix LLC

  • General Practice Physician
  • Royal Oak, MI
  • NPI 1619649894
  Medicare reassignment NPD
• Sciometrix Inc

  • General Practice Physician
  • Staten Island, NY
  • NPI 1457065591
  NPD

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1356953756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27645 ALBERT ST",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741012",
            "telephone_number": "313-332-0872",
            "fax_number": "313-332-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27645 ALBERT ST",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741012",
            "telephone_number": "313-310-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAILEY",
        "first_name": "JOHN",
        "middle_name": "WESTLEY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-18",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704199755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING ADVANCED PRACTICE LICENSE",
            "identifier": "4704199755",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "johnrnmailey@aol.com",
            "affiliation": "N",
            "endpointDescription": "johnrnmailey@aol.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "27645 Albert St",
            "city": "Novi",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483741012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maileyjo@msu.edu",
            "affiliation": "N",
            "endpointDescription": "maileyjo@msu.edu",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "27645 Albert St",
            "city": "Novi",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483741012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nadine Mahfouz
• Ayesha A. Mahmood, M.D.
• Neam Mahmood, MD
• Corey L Mahoney
• Madeline Maikowski
• Stephen Maina
• Libertie Majied
• Mahesha Makandura, M.D.
• Nada Makki
• Lauren Makled

• Primary Care Nurse Practitioner in Novi, MI
• Providers in Novi, MI by specialty
• Primary Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.

Verify at the official NPI Registry.