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Deactivated NPI 1902884521 Deactivated / Inactive NPI Female Practitioner

Mary J Boyle , NP

Nurse Practitioner • Ann Arbor, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mary Boyle has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 04, 2006
NPI Deactivation Date January 28, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Mary Boyle, NP was a registered Nurse Practitioner practicing in Ann Arbor, MI. Throughout an active medical career spanning 16 years, Mary Boyle provided care at the practice location at 1500 EAST MEDICAL CENTER DR until profile deactivation on 2022-01-28.

Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1500 East Medical Center Dr
Floor 3 Cardiovascular Center

Ann Arbor, MI 481095856

Telephone 8882871082
Fax 7342324505

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Ann Arbor, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.5 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
711 Specialists

Practicing in Ann Arbor, MI (3626 Statewide)

Telehealth Adoption Rate
19.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
24.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
59 58 $172.00 $129.52

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704127898

(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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kathy Halabicky , NP

Nurse Practitioner

NPI 1003935743

Nurse Practitioner

Dr. Stacy Willner , DO

Internal Medicine - Cardiovascular Disease

NPI 1013447259

Doctor of Osteopathic Medicine (D.O.)

Dr. Pamela Marcovitz , MD

Internal Medicine - Cardiovascular Disease

NPI 1023078748

Doctor of Medicine (M.D.)

NPI 1043772239

NURSEPRACTITIONER

Emily Maloney , BS

Clinical Exercise Physiologist

NPI 1063248706

Bachelor of Science

Courtney Clark , NP

Nurse Practitioner

NPI 1063716413

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 28, 2022

Record deactivated on January 28, 2022

NPI Profile Active February 27, 2013

NPI status registered as active in NPPES database

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Updated Practice Location February 27, 2013

Registered at 1500 EAST MEDICAL CENTER DR, FLOOR 3 CARDIOVASCULAR CENTER, ANN ARBOR, MI 481095856 (Tel: 8882871082)

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Updated Business Mailing Address February 27, 2013

Registered at 3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108 (Tel: 7349362047)

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Provider Name / Credentials Updated February 27, 2013

Recorded as MARY BOYLE, NP

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2013

Nurse Practitioner (License #4704127898 in MI)

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Initial NPI Registration & Enumeration January 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902884521
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2006
Last Update: February 27, 2013
Deactivation Date: January 28, 2022

Mailing Address

3621 South State Street, 700 Kms Place

Ann Arbor, MI 48108

Phone: 7349362047

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.