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SUSAN MUSTO N.P.
NPI 1043636772
Nurse Practitioner in Royal Oak, MI

Active since March 05, 2014PECOS EnrolledAccepts Medicare Assignment
80.99/100
CMS Quality Rating
3555 W 13 MILE RD STE N120, ROYAL OAK, MI 48073(855) 863-8761(248) 551-2301 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2021, Jan 25, 2021, Dec 29, 2015 (3 updates tracked since 2015).

About Susan Musto N.p. NPPES

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

SUSAN MUSTO N.P. (NPI 1043636772) is an individual nurse practitioner in Royal Oak, Michigan, licensed in Michigan (4704209353) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and maintains a secondary practice location in Novi.

NPPES Registry Identity

NPI1043636772
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUSAN MUSTOCredential: N.P.
Location Address3555 W 13 MILE RD STE N120Royal Oak, MI 48073-6710
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849 · Fax (947) 522-0307
Phone(855) 863-8761
Fax(248) 551-2301
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 5, 2014
Last NPPES UpdateDecember 13, 20213 updates tracked since enumeration
NPPES CertifiedDecember 13, 2021
✔ NPI 1043636772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704209353
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.
3555 W 13 MILE RD STE N120, Royal Oak, MI 48073
Open in Google Maps ↗

Secondary Practice Location 1

Location 128455 Haggerty Rd, suite 200Novi, MI 48377-2982 · Phone (248) 893-3200 · Fax (248) 893-2950

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan Musto N.p. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648403832
PECOS Enrollment IDI20140423001182
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.25
Promoting Interoperability100
Improvement Activities40
Cost59.73

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.

DR. CLAIRE AUFDEMBERGE AUD
Audiologist
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Oakland County (248) 551-8195
DR. SYENA MOLTAJI MD, FRCSC
Surgery (Plastic and Reconstructive Surgery)
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Oakland County (855) 563-8761
MAYA ZAYAT PSYD
Clinical Neuropsychologist
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Oakland County (855) 863-8761
MRS. MARISA ANNE BADANJEK NP-C
Nurse Practitioner (Primary Care)
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Oakland County (248) 551-1701
ANGELA CATHERINE SHERMAN PA-C
Physician Assistant (Surgical)
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Oakland County (248) 551-1550
LISA KOTZEN PA
Physician Assistant
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Oakland County (855) 863-8761
KATHERINE SUCHANEK BARTA NURSE PRACTITIONER
Nurse Practitioner (Acute Care)
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Oakland County (855) 863-8761
DANIEL ZACHARY SHUSTER DO
Psychiatry & Neurology (Vascular Neurology)
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Oakland County (855) 863-8761

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 Susan Musto's NPI number?

The NPI number for Susan Musto is 1043636772. It was assigned to this individual provider in the NPPES registry on March 5, 2014.

Where is Susan Musto located?

Susan Musto practices at 3555 W 13 Mile Rd Ste N120, Royal Oak, MI 48073. The listed phone number is (855) 863-8761.

What is Susan Musto's specialty?

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

Is Susan Musto enrolled in Medicare?

Yes. Susan Musto is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Susan Musto accept?

Health plans from McLaren Health Plan Community, Priority Health and UnitedHealthcare list Susan Musto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Susan Musto affiliated with any hospitals?

According to CMS data, Susan Musto is affiliated with Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Susan Musto was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.