Individual provider Active NPI

Patricia Aziza-Jendayi Wells

  • Family Nurse Practitioner
  • Northville, MI
National Provider Identifier
1699032185
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704247932 Issued in MI
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

Updated by the provider on Oct 20, 2022

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 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 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NY, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130827000024 MI Practitioner - Nurse Practitioner 4981847779 Reassigns benefits to 1 organization
I20180723001113 NY Practitioner - Nurse Practitioner 4981847779 Reassigns benefits to 1 organization
I20260318000488 GA Practitioner - Nurse Practitioner 4981847779 Reassigns benefits to 1 organization

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 100Reported as group
Quality
76.96
Improvement activities
40
Cost
79.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical Plus CurrentSince Apr 1, 2023 Accepting new patients
Matrix Medical of New York PC CurrentSince Jun 6, 2018 Accepting new patients
Community Care Health Network LLC CurrentSince Jan 7, 2026 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.

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

Verify at the official NPI Registry.