Active NPI
John-Angella-Regina Primary Care and Wellness
- Registered Nurse
- Novi, MI
National Provider Identifier
1659129161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- Legal business name
- JOHN-ANGELLA-REGINA PRIMARY CARE AND WELLNESS
- Practice address
- 27645 Albert St
Novi, MI 48374-1012 - Phone
- (313) 310-6761
- NPI assigned
- May 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Westley Mailey, NP
- Title
- Owner
- Phone
- (313) 310-6761
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | Primary |
Addresses
Primary practice location
27645 Albert St
Novi, MI 48374-1012
Mailing address
27645 Albert St
Novi, MI 48374-1012
Other names 1
- JAR Primary Care and Wellness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Novi, MI
- NPI 1356953756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715212800000",
"number": "1659129161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27645 ALBERT ST",
"city": "NOVI",
"state": "MI",
"postal_code": "483741012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27645 ALBERT ST",
"city": "NOVI",
"state": "MI",
"postal_code": "483741012",
"telephone_number": "313-310-6761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN-ANGELLA-REGINA PRIMARY CARE AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-09",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A",
"authorized_official_last_name": "MAILEY",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "WESTLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-310-6761",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JAR Primary Care and Wellness",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.