MOUNA BAZZI NURSE PRACTITIONER
NPI 1073225678
Nurse Practitioner - Acute Care in Dearborn, MI

Active since December 15, 2022PECOS EnrolledAccepts Medicare Assignment
4700 SCHAEFER RD STE 260, DEARBORN, MI 48126(947) 523-4650 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mouna Bazzi Nurse Practitioner NPPES

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

MOUNA BAZZI NURSE PRACTITIONER (NPI 1073225678) is an individual acute care provider in Dearborn, Michigan, licensed in Michigan (4704327655) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Dearborn, and maintains a secondary practice location in Dearborn.

NPPES Registry Identity

NPI1073225678
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMOUNA BAZZICredential: NURSE PRACTITIONER
Location Address4700 SCHAEFER RD STE 260Dearborn, MI 48126-3743
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2022
Enumeration DateDecember 15, 2022
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1073225678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MI · 4704327655
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704327655 (MI)
4700 SCHAEFER RD STE 260, Dearborn, MI 48126

Secondary Practice Location 1

Location 118101 Oakwood BlvdDearborn, MI 48124-4089 · Phone (313) 593-7000

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mouna Bazzi Nurse Practitioner 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 ID7416327150
PECOS Enrollment IDI20221221002116
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 Reassignments

4

Medicare enrollment records show Mouna Bazzi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
6501 GREENFIELD RD
Detroit, MI 48228
  • Reassigned Medicare billing, Michigan enrollment
  • 24 clinicians in this Medicare group
Occupational Therapist
18100 OAKWOOD BLVD, SUITE 300
Dearborn, MI 48124
  • Reassigned Medicare billing, Michigan enrollment
  • 731 clinicians in this Medicare group
Physical Therapist
1213 MASON ST
Dearborn, MI 48124
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Michigan Healthcare Professionals PC
  • 741 clinicians in this Medicare group
Surgery
3601 W 13 MILE RD
Royal Oak, MI 48073
  • Reassigned Medicare billing, Michigan enrollment
  • 1,030 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 5

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

Beaumont Hospital - Dearborn

Acute Care Hospitals · Dearborn, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230020
Location18101 Oakwood BlvdDearborn, MI 48124 · Wayne County
Emergency services Birthing friendly

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

Corewell Health Wayne Hospital

Acute Care Hospitals · Wayne, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230142
Location33155 Annapolis AveWayne, MI 48184 · Wayne County
Emergency services Birthing friendly

Corewell Health Trenton Hospital

Acute Care Hospitals · Trenton, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230176
Location5450 Fort StreetTrenton, MI 48183 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital - Taylor

Acute Care Hospitals · Taylor, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230270
Location10000 Telegraph RoadTaylor, MI 48180 · Wayne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48126 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
4700 SCHAEFER RD STE 260
DEARBORN, MI 48126

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 Mouna Bazzi's NPI number?

The NPI number for Mouna Bazzi is 1073225678. It was assigned to this individual provider in the NPPES registry on December 15, 2022.

Where is Mouna Bazzi located?

Mouna Bazzi practices at 4700 Schaefer Rd Ste 260, Dearborn, MI 48126. The listed phone number is (947) 523-4650.

What is Mouna Bazzi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Mouna Bazzi enrolled in Medicare?

Yes. Mouna Bazzi 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.

Which organizations bill Medicare for Mouna Bazzi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mouna Bazzi reassigns Medicare benefits to 4 organizations: A Ahmad MD Plc (Detroit, MI), University Physician Group (Dearborn, MI), Michigan Healthcare Professionals, P.C. (Dearborn, MI) and Beaumont Medical Group- Specialty Services (Royal Oak, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mouna Bazzi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mouna Bazzi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Mouna Bazzi 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 Mouna Bazzi affiliated with any hospitals?

According to CMS data, Mouna Bazzi is affiliated with Beaumont Hospital - Dearborn, Beaumont Hospital Royal Oak, Corewell Health Wayne Hospital, Corewell Health Trenton Hospital and Beaumont Hospital - Taylor.

When was this NPI record last updated?

The NPPES record for Mouna Bazzi was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.