Individual provider Active NPI

Maye Ismail, RN

  • Family Nurse Practitioner
  • Ann Arbor, MI
National Provider Identifier
1407527286
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704392939 Issued in MI
Practice address
2650 Carpenter Rd
Ann Arbor, MI 48108-1108
Phone
(734) 971-1073
NPI assigned
Sep 22, 2021
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X RN60970105 WA
Family Nurse Practitioner 363LF0000X 4704392939 MI Primary

Addresses

Primary practice location

2650 Carpenter Rd
Ann Arbor, MI 48108-1108

Mailing address

37748 Blossom LN
Farmington Hills, MI 48331-1734
Phone (425) 466-8676

Other practice location 1

500 19th Ave E
Seattle, WA 98112-4072
Phone (206) 299-1600

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
I20230223002119 MI Practitioner - Nurse Practitioner 3375916299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Packard Health IncGroup PAC ID 6204876113, 20 clinicians

Practice addresses (Care Compare)

200 Arnet St
Suite 150
Ypsilanti, MI 48198-5735
Phone (734) 985-7200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60970105WAMDAmbulatory Care Registered Nurse
4704392939MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Packard Health, Inc. CurrentSince Jan 23, 2023 Accepting new patients
Packard Health, Inc. CurrentSince Jan 23, 2023 Accepting new patients
Packard Health, Inc. Past Accepting new patients
Packard Health, Inc. Past Accepting new patients

Locations

2650 Carpenter Rd
Ann Arbor, MI 48108
Phone (734) 971-1073

5200 Venture Dr
Ann Arbor, MI 48108
Phone (734) 971-1073

200 Arnet St
Ste 150
Ypsilanti, MI 48198
Phone (734) 985-7200

Interoperability endpoints

  • FHIR API: https://arrprd.metrohealth.net/fhir/api/FHIR/R4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1407527286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37748 BLOSSOM LN",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311734",
            "telephone_number": "425-466-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 CARPENTER RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081108",
            "telephone_number": "734-971-1073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 19th Ave E",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981124072",
            "country_code": "US",
            "telephone_number": "206-299-1600",
            "fax_number": "206-299-1608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISMAIL",
        "first_name": "MAYE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "WA",
            "license": "RN60970105",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704392939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.