Active NPI
Mary B Maes, NP
- Acute Care Nurse Practitioner
- Ypsilanti, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 4704172920
- Practice address
- 5301 E Huron River Dr
Suite 2199
Ypsilanti, MI 48197-1051 - Phone
- (877) 336-6307
- NPI assigned
- Dec 29, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 4704172920 | MI | Primary |
Addresses
Primary practice location
5301 E Huron River Dr
Suite 2199
Ypsilanti, MI 48197-1051
Mailing address
1004 Sherman St
Ypsilanti, MI 48197-4627
Phone (734) 482-2763
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160119000360 | MI | Practitioner - Nurse Practitioner | 0143523514 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iha Health Services Corporation
Practice addresses (Care Compare)
5301 E Huron River Dr
Ypsilanti, MI 48197-1051
Phone (734) 712-4108
Hospital & facility affiliations
- Trinity Health Ann Arbor Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704172920 | MI | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Services Corporation | Current | Accepting new patients | |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Iha Health Service Corporation | Current | Accepting new patients | |
| Iha Health Services Corporation | Past | Accepting new patients |
Locations
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
5301 McAuley Dr
Ste 2199
Ypsilanti, MI 48197
Phone (734) 712-8676
5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246
Interoperability endpoints
- mmaes36479@direct.trinity-health.org
Organizations & group practices 4
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.
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- Ypsilanti, MI
- NPI 1831053701
-
- Neurology with Special Qualifications in Child Neurology Physician
- Ann Arbor, MI
- NPI 1821299199
-
- Family Medicine Physician
- Milan, MI
- NPI 1467509067
Hospital & facility affiliations 1
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": "1451347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451347200000",
"number": "1831554229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 SHERMAN ST",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481974627",
"telephone_number": "734-482-2763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 E HURON RIVER DR",
"address_2": "SUITE 2199",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971051",
"telephone_number": "877-336-6307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAES",
"first_name": "MARY",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-29",
"last_updated": "2015-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MI",
"license": "4704172920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.