MARK WESLEY ACNPC-AG
NPI 1104607514
Nurse Practitioner - Acute Care in Dearborn, MI
About Mark Wesley Acnpc-ag NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK WESLEY ACNPC-AG (NPI 1104607514) is an individual acute care provider in Dearborn, Michigan, licensed in Michigan (4704286220) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Dearborn, and is a graduate of Other (2022).
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 and accepts Medicare assignment
Mark Wesley Acnpc-ag is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital - Dearborn
Acute Care Hospitals · Dearborn, MIHenry Ford Health Wyandotte Hospital
Acute Care Hospitals · Wyandotte, MIBeaumont Hospital - Taylor
Acute Care Hospitals · Taylor, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DEARBORN, MI 48124
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 Mark Wesley's NPI number?
The NPI number for Mark Wesley is 1104607514. It was assigned to this individual provider in the NPPES registry on October 11, 2023.
Where is Mark Wesley located?
Mark Wesley practices at 840 Oakwood Blvd, Dearborn, MI 48124. The listed phone number is (313) 359-7631.
What is Mark Wesley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Mark Wesley enrolled in Medicare?
Yes. Mark Wesley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Mark Wesley affiliated with any hospitals?
According to CMS data, Mark Wesley is affiliated with Beaumont Hospital - Dearborn, Henry Ford Health Wyandotte Hospital and Beaumont Hospital - Taylor.
When was this NPI record last updated?
The NPPES record for Mark Wesley was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Mark Wesley, ACNPC-AG · NPI 1104607514
Acute Care physician in Dearborn, Michigan. Individual provider, active in the CMS NPPES registry since October 11, 2023.
## Identity
- **NPI:** 1104607514 (Entity type: Individual)
- **Enumerated:** October 11, 2023
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 4704286220 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 840 OAKWOOD BLVD, Dearborn, MI 48124-2319
- **Phone:** (313) 359-7631
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104607514) · Data from the CMS NPPES public registry.