JUSTIN MACNEILL MD
NPI 1063250009
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI
About Justin Macneill Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN MACNEILL MD (NPI 1063250009) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351055725) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Justin Macneill Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Justin Macneill's NPI number?
The NPI number for Justin Macneill is 1063250009. It was assigned to this individual provider in the NPPES registry on July 15, 2024.
Where is Justin Macneill located?
Justin Macneill practices at 2215 Fuller Rd, Ann Arbor, MI 48105. The listed phone number is (734) 845-5290.
What is Justin Macneill's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Justin Macneill enrolled in Medicare?
Yes. Justin Macneill is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Justin Macneill was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Justin Macneill, MD · NPI 1063250009
Student in an Organized Health Care Education/Training Program provider in Ann Arbor, Michigan. Individual provider, active in the CMS NPPES registry since July 15, 2024.
## Identity
- **NPI:** 1063250009 (Entity type: Individual)
- **Enumerated:** July 15, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 4351055725 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2215 FULLER RD, Ann Arbor, MI 48105-2303
- **Phone:** (734) 845-5290
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063250009) · Data from the CMS NPPES public registry.