Individual provider Active NPI

Angela Catherine Maceri

  • Family Nurse Practitioner
  • Troy, MI
National Provider Identifier
1679010821
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704296142 Issued in MI
Practice address
2649 Crooks Rd
Troy, MI 48084-4714
Phone
(248) 643-0044
NPI assigned
Jan 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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 4704296142 MI Primary

Addresses

Primary practice location

2649 Crooks Rd
Troy, MI 48084-4714

Mailing address

2649 Crooks Rd
Troy, MI 48084-4714
Phone (248) 643-0044

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
I20170208000358 MI Practitioner - Nurse Practitioner 3274816798 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
Wellstreet Urgent Care of MichiganGroup PAC ID 6305188491, 129 clinicians

Practice addresses (Care Compare)

15959 Hall Rd
Suite 104
Macomb, MI 48044-5364
Phone (586) 884-2688

2078 E Big Beaver Rd
Beaumont Urgent Care of Michigan
Troy, MI 48083-2301
Phone (248) 918-0744

3200 Walton Blvd
Rochester Hills, MI 48309-1200
Phone (248) 809-5224

56293 Van Dyke Ave
Shelby Township, MI 48316-5019
Phone (586) 932-4539

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.04 of 100Reported as group
Quality
67.93
Promoting interoperability
100
Improvement activities
40
Cost
52.21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Troy Medical P C CurrentSince Feb 14, 2017 Accepting new patients
Wellstreet Urgent Care of Michigan CurrentSince Jun 24, 2019 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients

Locations

15959 Hall Rd
Ste 104
Macomb, MI 48044
Phone (586) 884-2688

25631 Little Mack Ave
Ste 104
St Clr Shores, MI 48081
Phone (586) 884-2727

2078 E Big Beaver Rd
Troy, MI 48083
Phone (248) 855-4134

2649 Crooks Rd
Troy, MI 48084
Phone (248) 643-0044

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 3

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": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1679010821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 CROOKS RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844714",
            "telephone_number": "248-643-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2649 CROOKS RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844714",
            "telephone_number": "248-643-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACERI",
        "first_name": "ANGELA",
        "middle_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704296142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.