WILSON MACE DO
NPI 1700679172
Family Medicine in Grand Blanc, MI

Q: What is Wilson Mace's NPI number?

The NPI number for Wilson Mace is 1700679172. It was assigned to this individual provider in the NPPES registry on May 27, 2025.

Q: What is Wilson Mace's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Wilson Mace was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 27, 2025PECOS Enrolled

1 GENESYS PKWY, GRAND BLANC, MI 48439(810) 606-5000 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wilson Mace Do NPPES

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

WILSON MACE DO (NPI 1700679172) is an individual family medicine provider in Grand Blanc, Michigan, licensed in Michigan (5151017421) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700679172

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameWILSON MACECredential: DO

Location Address1 GENESYS PKWYGrand Blanc, MI 48439-8065

Mailing Address6480 Crestview DrHolly, MI 48442-8437

Phone(810) 606-5000

Sole ProprietorNo

Enumeration DateMay 27, 2025

NPPES CertifiedMay 27, 2025

✔ NPI 1700679172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 5151017421

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1 GENESYS PKWY, Grand Blanc, MI 48439

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wilson Mace Do 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 48439 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

ILONA CROWDER COTA/L

Occupational Therapy Assistant