MARY LEADITH MCNULTY N.P.
NPI 1730211194
Nurse Practitioner in Canton, MI

Active since March 12, 2007PECOS Enrolled
1051 N CANTON CENTER RD, CANTON, MI 48187(734) 844-5400 Get Directions Write a Review

NPPES record last updated: May 13, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Leadith Mcnulty N.p. NPPES

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

MARY LEADITH MCNULTY N.P. (NPI 1730211194) is an individual nurse practitioner in Canton, Michigan, licensed in Michigan (4704196438) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730211194
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY LEADITH MCNULTYCredential: N.P.
Location Address1051 N CANTON CENTER RDCanton, MI 48187-5097
Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299
Sole ProprietorNo
Enumeration DateMarch 12, 2007
Last NPPES UpdateMay 13, 2019
NPI 1730211194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MI · 4704196438
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X · License 4704196438 (MI)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 4704196438 (MI)
1051 N CANTON CENTER RD, Canton, MI 48187

Other Identifiers 1

Medicaid4698876MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mary Leadith Mcnulty N.p. 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 48187 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.

Internal Medicine
1051 N CANTON CENTER RD
CANTON, MI 48187
Obstetrics & Gynecology
1051 N CANTON CENTER RD
CANTON, MI 48187
Physical Therapist
1051 N CANTON CENTER RD
CANTON, MI 48187
Physical Therapist
1051 N CANTON CENTER RD
CANTON, MI 48187
Ophthalmology
1051 N CANTON CENTER RD
CANTON, MI 48187
Physical Therapist
1051 N CANTON CENTER RD
CANTON, MI 48187
Nurse Practitioner (Family)
1051 N CANTON CENTER RD
CANTON, MI 48187
Pediatrics
1051 N CANTON CENTER RD
CANTON, MI 48187

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 Mary Mcnulty's NPI number?

The NPI number for Mary Mcnulty is 1730211194. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Where is Mary Mcnulty located?

Mary Mcnulty practices at 1051 N Canton Center Rd, Canton, MI 48187. The listed phone number is (734) 844-5400.

What is Mary Mcnulty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mary Mcnulty enrolled in Medicare?

Yes. Mary Mcnulty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Mcnulty was last updated on May 13, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.