MARILYN NAH NGUNDAM NP -C, PMHNP-BC
NPI 1447720669
Nurse Practitioner - Family in Detroit, MI

Active since November 30, 2018PECOS Enrolled
6309 MACK AVE, DETROIT, MI 48207(313) 921-4700 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2026, Feb 3, 2026, Aug 7, 2025 and 3 more (6 updates tracked since 2018).

About Marilyn Nah Ngundam Np -c, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARILYN NAH NGUNDAM NP -C, PMHNP-BC (NPI 1447720669) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704312977) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1447720669
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARILYN NAH NGUNDAMCredential: NP -C, PMHNP-BC
Location Address6309 MACK AVEDetroit, MI 48207-2302
Mailing Address6309 Mack AveDetroit, MI 48207-2302 · (313) 921-4700
Sole ProprietorNo
Enumeration DateNovember 30, 2018
Last NPPES UpdateMay 20, 20266 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
NPI 1447720669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704312977
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 4704312977 (MI)
6309 MACK AVE, Detroit, MI 48207

Secondary Practice Locations 6

Location 1911 E 9 Mile RdFerndale, MI 48220-1934 · Phone (248) 336-4000
Location 21861 E Maple RdTroy, MI 48083-4207 · Phone (248) 246-0172
Location 3400 N Wayne RdWestland, MI 48185-3628 · Phone (734) 522-7000
Location 43950 S Rochester Rd Ste 1300Rochester Hills, MI 48307 · Phone (248) 705-6223 · Fax (248) 253-1462
Location 566 W Flagler St Ste 900Miami, FL 33130-1807 · Phone (313) 290-0632 · Fax (313) 217-7662
Location 618463 Livernois AveDetroit, MI 48221-2254 · Phone (313) 861-5810

Other Identifiers 1

Other4704312977MI · Mi State License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Marilyn Nah Ngundam Np -c, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Social Worker (Clinical)
6309 MACK AVE
DETROIT, MI 48207
Social Worker
6309 MACK AVE
DETROIT, MI 48207
Social Worker (Clinical)
6309 MACK AVE
DETROIT, MI 48207
Social Worker
6309 MACK AVE
DETROIT, MI 48207
Social Worker
6309 MACK AVE
DETROIT, MI 48207
Social Worker (Clinical)
6309 MACK AVE
DETROIT, MI 48207
Social Worker
6309 MACK AVE
DETROIT, MI 48207
Counselor (Professional)
6309 MACK AVE
DETROIT, MI 48207

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 Marilyn Ngundam's NPI number?

The NPI number for Marilyn Ngundam is 1447720669. It was assigned to this individual provider in the NPPES registry on November 30, 2018.

Where is Marilyn Ngundam located?

Marilyn Ngundam practices at 6309 Mack Ave, Detroit, MI 48207. The listed phone number is (313) 921-4700.

What is Marilyn Ngundam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marilyn Ngundam enrolled in Medicare?

Yes. Marilyn Ngundam is registered in the Medicare PECOS enrollment system.

What insurance does Marilyn Ngundam accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Marilyn Ngundam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marilyn Ngundam was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.