Individual provider Active NPI

Margaret Klenner, FNP-BC

  • Family Nurse Practitioner
  • Macomb, MI
National Provider Identifier
1396190070
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704285816 Issued in MI
Practice address
15959 Hall Rd
Suite 104
Macomb, MI 48044-5363
Phone
(586) 884-8688
NPI assigned
Apr 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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 4704285816 MI Primary

Addresses

Primary practice location

15959 Hall Rd
Suite 104
Macomb, MI 48044-5363

Mailing address

38935 Ann Arbor Rd
Livonia, MI 48150-3397
Phone (248) 764-3094

Other identifiers 1

IdentifierTypeStateIssuer
13806212OtherMICAQH

Other names 1

  • Mrs. Margaret Matles 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
I20160614001459 MI Practitioner - Nurse Practitioner 0143511600 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Emergency Care PCGroup PAC ID 3870493588, 21 clinicians

Practice addresses (Care Compare)

15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (734) 805-0468

Hospital & facility affiliations

  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704285816MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Emergency Care, PC Nurse Practitioner CurrentSince Jun 1, 2016 Accepting new patients
Independent Emergency Physicians, P.C. CurrentSince Jan 15, 2026 Accepting new patients
Orchards for Urgent Care Past Accepting new patients

Locations

2987 Momentum Pl
Chicago, IL 60689

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

38935 Ann Arbor Rd
Livonia, MI 48150
Phone (248) 886-9540

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

Interoperability endpoints

  • Direct secure messaging: mklenner60101@direct.hfhs.org

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": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1396190070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38935 ANN ARBOR RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503397",
            "telephone_number": "248-764-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15959 HALL RD",
            "address_2": "SUITE 104",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480445363",
            "telephone_number": "586-884-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLENNER",
        "first_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704285816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13806212",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "MATLES",
            "prefix": "MRS.",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Macomb, MI

Sources for this page

Verify at the official NPI Registry.