Individual provider Active NPI

Molly Bridget Maki, MSN, RN, FNP-BC

  • Nurse Practitioner
  • Rochester, MI
National Provider Identifier
1386012920
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704274546 Issued in MI
Practice address
1135 W University Dr
Suite 425
Rochester, MI 48307-1871
Phone
(248) 650-5861
Fax
(248) 650-5865
NPI assigned
Sep 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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 4704274546 MI Primary

Addresses

Primary practice location

1135 W University Dr
Suite 425
Rochester, MI 48307-1871

Mailing address

1135 W University Dr Ste 425
Rochester, MI 48307-1897
Phone (248) 650-5864

Other names 1

  • Ms. Molly Bridget Ruhl Former name

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
I20150923001385 MI Practitioner - Nurse Practitioner 1557678588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75.31 of 100Reported as group
Quality
73.34
Promoting interoperability
64
Improvement activities
40
Cost
52.64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704274546MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Specialists in Rehabilitation Medicine PC CurrentSince Sep 28, 2015 Accepting new patients

Locations

9640 Commerce Rd
Ste 202
Commerce Twp, MI 48382
Phone (248) 360-8660

1135 W University Dr
Ste 175
Rochester Hls, MI 48307
Phone (248) 650-4738

1135 W University Dr
Ste 425
Rochester Hls, MI 48307
Phone (248) 650-5861

Interoperability endpoints

  • Direct secure messaging: mmaki1139908@direct.hfhs.org

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": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1386012920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 W UNIVERSITY DR STE 425",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071897",
            "telephone_number": "248-650-5864",
            "fax_number": "248-650-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 W UNIVERSITY DR",
            "address_2": "SUITE 425",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071871",
            "telephone_number": "248-650-5861",
            "fax_number": "248-650-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKI",
        "first_name": "MOLLY",
        "middle_name": "BRIDGET",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704274546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "RUHL",
            "middle_name": "BRIDGET",
            "prefix": "MS.",
            "credential": "MSN, RN, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, MI

Sources for this page

Verify at the official NPI Registry.