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

Mary-Anne Ajaero, PA

Individual provider Behavior Technician · NPI 1659087377

Mary-Anne Ajaero, PA is a Physician Assistant in Detroit, Michigan. Qualified in 2021, 5 years ago. Practices with Im Consultant, a 3-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
5
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

17751 E Warren Ave
Detroit, MI 48224-1329
Phone: (313) 885-6833
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 19020 Fort St, Riverview, MI 48193-6701 — (734) 362-5100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1659087377
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 26, 2023
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Im Consultant — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Detroit