Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prof. Mary Anne McCoy

Individual provider Nurse Practitioner · NPI 1265664320

Prof. Mary Anne McCoy is a Nurse Practitioner in Royal Oak, Michigan. Qualified in 2004, 22 years ago. Practices with Henry Ford Health System, a 2,540-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
22
Licensed in
MI
In the registry since
2009
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Practice location Address checks out

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712 Not confirmed with CMS for 17 years — call before visiting
Phone: (248) 898-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704120507 (MI)

Record details

NPI number1265664320
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 21, 2009
Last updated in NPPESAugust 21, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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