NPIMap

Individual provider Active NPI

Michael William-Mulligan Wille, PA-C

  • Medical Physician Assistant
  • Beverly Hills, MI
National Provider Identifier
1730601162
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601008296 Issued in MI
Practice address
17877 W 14 Mile Rd
Beverly Hills, MI 48025
Phone
(248) 644-3920
Fax
(248) 644-2569
NPI assigned
Jul 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601008296 MI Primary

Addresses

Primary practice location

17877 W 14 Mile Rd
Beverly Hills, MI 48025

Mailing address

26211 Central Park Blvd Ste 201
Southfield, MI 48076-4158
Phone (248) 845-4381

Other practice location 1

33200 W 14 Mile Rd Ste 220
West Bloomfield, MI 48322-3586
Phone (248) 855-7400

Other practice location 2

45816 Schoenherr Rd
Shelby Twp, MI 48315-6028
Phone (586) 842-2400

Other practice location 3

4967 Crooks Rd Ste 100
Troy, MI 48098-5812
Phone (248) 846-8060

Other practice location 4

1350 Kirts Blvd Ste 160
Troy, MI 48084-4852
Phone (248) 244-9426

Other practice location 5

24255 W 13 Mile Rd Ste 100
Bingham Farms, MI 48025-4345
Phone (248) 988-8085

Other practice location 6

26025 Lahser Rd Fl 2
Southfield, MI 48033-2606
Phone (248) 663-1900

Other practice location 7

30575 Woodward Ave
Royal Oak, MI 48073-0980
Phone (248) 280-8550 ext. 54381

Other practice location 8

26750 Providence Pkwy Ste 220
Novi, MI 48374-1212
Phone (248) 596-0412

Other practice location 9

26025 Lahser Rd Fl 3
Southfield, MI 48033-2606
Phone (248) 663-1923

Other identifiers 1

IdentifierTypeStateIssuer
1142935OtherNATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.wille.1@9974.direct.athenahealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170814001210 MI Practitioner - Physician Assistant 3678844461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Orthopaedic Surgeons PLLCGroup PAC ID 7810277811, 127 clinicians

Practice addresses (Care Compare)

17877 W 14 Mile Rd
Beverly Hills, MI 48025-3127
Phone (248) 644-3920

4967 Crooks Rd
Suite 100
Troy, MI 48098-5812
Phone (248) 714-1635

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Orthopaedic Surgeons, PLLC CurrentSince Jul 5, 2018 Accepting new patients
Michigan Orthopaedic Surgeons PLLC PastSince Mar 27, 2022 Accepting new patients
Michigan Orthopaedic Surgeons PLLC PastSince May 25, 2021 Accepting new patients

Locations

17877 W 14 Mile Rd
Beverly Hills, MI 48025
Phone (248) 644-3920

24255 W 13 Mile Rd
Ste 100
Bingham Farms, MI 48025
Phone (248) 988-8085

26750 Providence Pkwy
Ste 220
Novi, MI 48374
Phone (248) 596-0412

26211 Central Park Blvd
Ste 201
Southfield, MI 48076
Phone (248) 845-4381

26025 Lahser Rd
Fl 2
Southfield, MI 48033
Phone (248) 663-1900

26025 Lahser Rd
Fl 3
Southfield, MI 48033
Phone (248) 663-1900

1350 Kirts Blvd
Ste 160
Troy, MI 48084
Phone (248) 244-9426

4967 Crooks Rd
Ste 100
Troy, MI 48098
Phone (248) 846-8060

45816 Schoenherr Rd
Utica, MI 48315
Phone (586) 842-2400

33200 W 14 Mile Rd
Ste 220
West Bloomfield, MI 48322
Phone (248) 855-7400

Organizations & group practices 12

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 11

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": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1730601162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26211 CENTRAL PARK BLVD STE 201",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764158",
            "telephone_number": "248-845-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17877 W 14 MILE RD",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "48025",
            "telephone_number": "248-644-3920",
            "fax_number": "248-644-2569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33200 W 14 Mile Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483223586",
            "country_code": "US",
            "telephone_number": "248-855-7400",
            "fax_number": "248-626-6481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45816 Schoenherr Rd",
            "address_purpose": "LOCATION",
            "city": "Shelby Twp",
            "state": "MI",
            "postal_code": "483156028",
            "country_code": "US",
            "telephone_number": "586-842-2400",
            "fax_number": "586-991-6054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4967 Crooks Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480985812",
            "country_code": "US",
            "telephone_number": "248-846-8060",
            "fax_number": "248-590-2063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Kirts Blvd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480844852",
            "country_code": "US",
            "telephone_number": "248-244-9426",
            "fax_number": "248-244-9495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24255 W 13 Mile Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480254345",
            "country_code": "US",
            "telephone_number": "248-988-8085",
            "fax_number": "248-988-8565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26025 Lahser Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480332606",
            "country_code": "US",
            "telephone_number": "248-663-1900",
            "fax_number": "248-663-1901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30575 Woodward Ave",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480730980",
            "country_code": "US",
            "telephone_number": "248-280-8550 x54381",
            "fax_number": "248-280-8571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26750 Providence Pkwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483741212",
            "country_code": "US",
            "telephone_number": "248-596-0412",
            "fax_number": "248-596-0418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26025 Lahser Rd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480332606",
            "country_code": "US",
            "telephone_number": "248-663-1923",
            "fax_number": "248-809-3378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLE",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM-MULLIGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-07",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601008296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS",
            "identifier": "1142935",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.wille.1@9974.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena Health",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "17877 W 14 Mile Rd",
            "city": "Beverly Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beverly Hills, MI

Sources for this page

Verify at the official NPI Registry.