NPIMap

Individual provider Active NPI

Betsy Ellen Wesley, D.O.

  • Emergency Medicine Physician
  • Grosse Ile, MI
National Provider Identifier
1760565477
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036141756 Issued in IL
Practice address
7706 Macomb St
Grosse Ile, MI 48138-2235
Phone
(734) 752-6594
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101008233 MI
Emergency Medicine Physician 207P00000X 036141756 IL Primary
Family Medicine Physician 207Q00000X 20A5149 CA

Addresses

Primary practice location

7706 Macomb St
Grosse Ile, MI 48138-2235

Mailing address

7706 Macomb St
Grosse Ile, MI 48138-2235
Phone (734) 752-6594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20161227000804 IL Practitioner - Emergency Medicine 0749209393 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
693NVMDDentist
20A5149CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Care Incorporated Emergency Medicine CurrentSince Jan 25, 2026 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Integritas Emergency Physician Services, LLC Emergency Medicine CurrentSince Jan 26, 2023 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jul 1, 2025 Accepting new patients
New Rose Healthcare Management LLC Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients
Epss LLC- Lakeside Series Emergency Medicine CurrentSince Dec 12, 2023 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jul 1, 2025 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jul 1, 2025 Accepting new patients
Mymichigan Medical Center Tawas Past Accepting new patients
McEwan Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

45 W 111th St
Chicago, IL 60628
Phone (773) 995-3000

5025 N Paulina St
Chicago, IL 60640
Phone (773) 271-9040

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Organizations & group practices 10

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 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Philadelphia College of Osteopathic Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epss LLC- Lakeside Series 18 clinicians

Practice addresses (Care Compare)

850 W Irving Rd
Chicago, IL 60613-3077
Phone (773) 525-6780

Hospital & facility affiliations

  • Carle Health Proctor Hospital Hospital, Peoria, IL, CCN 140013
  • Thorek Memorial Hospital Hospital, Chicago, IL, CCN 140115
  • Carle Health Pekin Hospital Hospital, Pekin, IL, CCN 140120

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1760565477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7706 MACOMB ST",
            "city": "GROSSE ILE",
            "state": "MI",
            "postal_code": "481382235",
            "telephone_number": "734-752-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7706 MACOMB ST",
            "city": "GROSSE ILE",
            "state": "MI",
            "postal_code": "481382235",
            "telephone_number": "734-752-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESLEY",
        "first_name": "BETSY",
        "middle_name": "ELLEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101008233",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036141756",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Ile, MI

Sources for this page

Verify at the official NPI Registry.