Individual provider Active NPI

Emily C Maxfield, FNP

  • Family Nurse Practitioner
  • Ypsilanti, MI
National Provider Identifier
1609646140
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704313237 Issued in MI
Practice address
5301 McAuley Dr
Ypsilanti, MI 48197-1051
Phone
(734) 712-3456
NPI assigned
Jan 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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 4704313237 MI Primary

Addresses

Primary practice location

5301 McAuley Dr
Ypsilanti, MI 48197-1051

Mailing address

415 Clifford St Apt 806
Detroit, MI 48226-1521
Phone (614) 906-0604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704313237MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ih Physician Services PC CurrentSince Jan 6, 2025 Accepting new patients
Ih Physician Services, PC CurrentSince Jan 6, 2025 Accepting new patients
Ih Physician Services PC Past Accepting new patients

Locations

39425 Garfield Rd
Ste 22A
Clinton Township, MI 48038
Phone (586) 649-3181

1320 Waldo Ave
Ste 300
Midland, MI 48642
Phone (586) 649-3181

26211 Central Park Blvd
Ste 600
Southfield, MI 48076
Phone (248) 936-2075

25925 Telegraph Rd
Ste 102A
Southfield, MI 48033
Phone (248) 809-1442

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

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.

NPI Registry JSON

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1609646140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 CLIFFORD ST APT 806",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482261521",
            "telephone_number": "614-906-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 MCAULEY DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971051",
            "telephone_number": "734-712-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXFIELD",
        "first_name": "EMILY",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704313237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.