MARY C MENTAG CNM
NPI 1801569223
Advanced Practice Midwife in West Bloomfield, MI

Q: What is Mary Mentag's NPI number?

The NPI number for Mary Mentag is 1801569223. It was assigned to this individual provider in the NPPES registry on July 30, 2021.

Q: What is Mary Mentag's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Mentag was last updated on December 27, 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.

Active since July 30, 2021PECOS Enrolled

6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322(313) 516-2725(313) 516-2735 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mary C Mentag Cnm NPPES

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

MARY C MENTAG CNM (NPI 1801569223) is an individual advanced practice midwife in West Bloomfield, Michigan, licensed in Michigan (4704334986) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lake Orion.

NPPES Registry Identity

NPI1801569223

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameMARY C MENTAGCredential: CNM

Location Address6777 W MAPLE RDWest Bloomfield, MI 48322-3013

Mailing Address6777 W Maple RdWest Bloomfield, MI 48322-3013 · (313) 516-2725 · Fax (313) 516-2735

Phone(313) 516-2725

Fax(313) 516-2735

Sole ProprietorYes

Enumeration DateJuly 30, 2021

Last NPPES UpdateDecember 27, 2023

NPPES CertifiedDecember 27, 2023

✔ NPI 1801569223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in MI · 4704334986

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

6777 W MAPLE RD, West Bloomfield, MI 48322

Open in Google Maps ↗

Secondary Practice Location 1

Location 11406 S Lapeer RdLake Orion, MI 48360-1437 · Phone (248) 693-0543 · Fax (248) 693-3683

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary C Mentag Cnm 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.

Medicare Billing Reassignment

Medicare enrollment records show Mary Mentag reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Henry Ford Health System

20 mi

Pediatrics

2799 W GRAND BLVD
Detroit, MI 48202

Reassigned Medicare billing, Michigan enrollment
1,886 clinicians in this Medicare group

NPI 1003990318 (313) 916-2600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48322 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

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

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.

IRB MEDICAL EQUIPMENT LLC

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)

6777 W MAPLE RD, RM 60-01
WEST BLOOMFIELD, MI 48322

Oakland County (248) 862-7214

MELISSA ANNE BARACH AGCNS

Clinical Nurse Specialist