Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMANDA MOSED
NPI 1083563423
Nurse Practitioner - Adult Health in New Boston, MI

Active since January 27, 2026PECOS Enrolled
22639 RUST RD, NEW BOSTON, MI 48164(313) 980-7772 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 18, 2026, Jan 27, 2026 (2 updates tracked since 2026).

About Amanda Mosed NPPES

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

AMANDA MOSED (NPI 1083563423) is an individual adult health provider in New Boston, Michigan, licensed in Michigan (4704306260) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Southfield, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1083563423
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameAMANDA MOSED
Location Address22639 RUST RDNew Boston, MI 48164-9665
Mailing Address22639 Rust RdNew Boston, MI 48164-9665 · (313) 980-7772
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 27, 2026
Last NPPES UpdateSeptember 18, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1083563423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MI · 4704306260
22639 RUST RD, New Boston, MI 48164

Secondary Practice Location 1

Location 129201 Telegraph Rd Ste 404Southfield, MI 48034-7647 · Phone (248) 450-3507 · Fax (248) 796-0177

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Amanda Mosed 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 ID6406323252
PECOS Enrollment IDI20260429002008
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48164 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.

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 Amanda Mosed's NPI number?

The NPI number for Amanda Mosed is 1083563423. It was assigned to this individual provider in the NPPES registry on January 27, 2026.

Where is Amanda Mosed located?

Amanda Mosed practices at 22639 Rust Rd, New Boston, MI 48164. The listed phone number is (313) 980-7772.

What is Amanda Mosed's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Amanda Mosed enrolled in Medicare?

Yes. Amanda Mosed 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.

When was this NPI record last updated?

The NPPES record for Amanda Mosed was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.