Active NPI
Patricia Aziza-Jendayi Wells
- Family Nurse Practitioner
- Northville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704247932
- Practice address
- 44300 5 Mile Rd
Northville, MI 48168-9504 - Phone
- (663) 892-7278
- NPI assigned
- Apr 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704247932 | MI | Primary |
Addresses
Primary practice location
44300 5 Mile Rd
Northville, MI 48168-9504
Mailing address
44300 5 Mile Rd
Northville, MI 48168-9504
Other names 1
- Patricia Aziza-Jendayi Wells
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, NY, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
18652 Prairie St
Detroit, MI 48221-2134
424 Church St
Nashville, TN 37219-2301
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.3 of 100
- Quality
- 76.96
- Improvement activities
- 40
- Cost
- 79.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Medical Plus | Current | Accepting new patients | |
| Matrix Medical of New York PC | Current | Accepting new patients | |
| Community Care Health Network LLC | Current | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
1000 Parkwood Cir SE
Ste 900
Atlanta, GA 30339
Phone (216) 393-8684
3200 Greenfield Rd
Ste 300
Dearborn, MI 48120
Phone (313) 318-8208
400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582
1740 Broadway
Fl 15
New York, NY 10019
Phone (201) 256-5032
424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721
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.
-
- Nurse Practitioner
- New York, NY
- NPI 1639433063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1699032185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44300 5 MILE RD",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481689504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44300 5 MILE RD",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481689504",
"telephone_number": "663-892-7278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "PATRICIA",
"middle_name": "AZIZA-JENDAYI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-20",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704247932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "WELLS",
"middle_name": "AZIZA-JENDAYI",
"credential": "FNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Northville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.