Individual provider Active NPI

Miriam Ezeikpe, NP

  • Family Nurse Practitioner
  • Ypsilanti, MI
National Provider Identifier
1578259156
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704311982 Issued in MI
Practice address
1065 N Huron River Dr
Ypsilanti, MI 48197-3296
Phone
(734) 896-4112
Fax
(734) 896-4113
NPI assigned
Apr 17, 2023
Last updated
Sep 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 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 4704311982 MI Primary

Addresses

Primary practice location

1065 N Huron River Dr
Ypsilanti, MI 48197-3296

Mailing address

1065 N Huron River Dr Ste 300
Ypsilanti, MI 48197-3296
Phone (734) 896-4112

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
I20240327003726 MI Practitioner - Nurse Practitioner 9335586130 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Michigan Medical School, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Huron Urgent Care Center PLCGroup PAC ID 6901086859, 5 clinicians

Practice addresses (Care Compare)

1649 S Huron St
Ypsilanti, MI 48197-9701
Phone (734) 480-0990

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SNF Wound Care CurrentSince Feb 21, 2024 Accepting new patients
South Huron Urgent Care Center PLC CurrentSince Jun 30, 2025 Accepting new patients
Medical Associates, PC CurrentSince Sep 17, 2024 Accepting new patients
Iha Health Services Corporation Past Accepting new patients
Huron Valley Radiology PC Past Accepting new patients

Locations

1649 S Huron St
Ypsilanti, MI 48197
Phone (734) 480-0990

428 S Grove St
Ypsilanti, MI 48198
Phone (734) 483-1214

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1578259156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 N HURON RIVER DR STE 300",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481973296",
            "telephone_number": "734-896-4112",
            "fax_number": "734-896-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 N HURON RIVER DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481973296",
            "telephone_number": "734-896-4112",
            "fax_number": "734-896-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEIKPE",
        "first_name": "MIRIAM",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704311982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.