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TRACY BOSANKO PMHNP
NPI 1184445264
Registered Nurse - Psychiatric/Mental Health, Adult in Livonia, MI

Active since October 21, 2024PECOS EnrolledAccepts Medicare Assignment
17177 N LAUREL PARK DR STE 131, LIVONIA, MI 48152(734) 462-3210(734) 462-1024 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2025, Dec 18, 2024 (2 updates tracked since 2024).

About Tracy Bosanko Pmhnp NPPES

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

TRACY BOSANKO PMHNP (NPI 1184445264) is an individual psychiatric/mental health, adult provider in Livonia, Michigan, licensed in Michigan (4704329968) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Canton, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1184445264
Entity TypeIndividualFemale
Primary Taxonomy163WP0809X
Provider Legal NameTRACY BOSANKOCredential: PMHNP
Location Address17177 N LAUREL PARK DR STE 131Livonia, MI 48152-3952
Mailing Address5842 Hathaway RdCanton, MI 48187-5609 · (734) 536-3043
Phone(734) 462-3210
Fax(734) 462-1024
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 21, 2024
Last NPPES UpdateJune 6, 20252 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
✔ NPI 1184445264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers
Taxonomy Code163WP0809X
License✔ Licensed in MI · 4704329968
17177 N LAUREL PARK DR STE 131, Livonia, MI 48152
Open in Google Maps ↗

Other Names 1

Former Name (1)Tracy Schleif

Secondary Practice Location 1

Location 15842 Hathaway RdCanton, MI 48187-5609 · Phone (734) 536-3043

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health.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

Tracy Bosanko Pmhnp 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 ID3971032806
PECOS Enrollment IDI20250122002742
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.

Other Providers at the Same Location NPPES 17

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

SHAYNA DANTO RDN
Dietitian, Registered
17177 N LAUREL PARK DR STE 131
LIVONIA, MI 48152
Wayne County (734) 462-3210
DANA DEVINE TLLP
Psychologist
17177 N LAUREL PARK DR STE 131
LIVONIA, MI 48152
Wayne County (734) 462-3210
SHANNAN LUSTIG
Social Worker (Clinical)
17177 N LAUREL PARK DR STE 131
LIVONIA, MI 48152
Wayne County (734) 462-3210
JIWOONG HYUN PA-C
Physician Assistant
17177 N LAUREL PARK DR STE 131
LIVONIA, MI 48152
Wayne County (734) 462-3210
DR. SAMUEL H WEDES MD
Psychiatry & Neurology (Psychiatry)
17177 N LAUREL PARK DR STE 131
LIVONIA, MI 48152
Wayne County (734) 462-3210
SARAH BEAULIEU PMHNP-BC, FNP-C
Nurse Practitioner (Family)
17177 N LAUREL PARK DR STE 131
LIVONIA, MI 48152
Wayne County (734) 462-3210
KEVIN LIVINGSTONE
Physician Assistant
17177 N LAUREL PARK DR STE 131
LIVONIA, MI 48152
Wayne County (734) 462-3210
ASHLEY MAE LEGAULT LMSW
Social Worker (Clinical)
17177 N LAUREL PARK DR STE 131
LIVONIA, MI 48152
Wayne County (734) 462-3210

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 Tracy Bosanko's NPI number?

The NPI number for Tracy Bosanko is 1184445264. It was assigned to this individual provider in the NPPES registry on October 21, 2024. The provider is also known as Tracy Schleif.

Where is Tracy Bosanko located?

Tracy Bosanko practices at 17177 N Laurel Park Dr Ste 131, Livonia, MI 48152. The listed phone number is (734) 462-3210.

What is Tracy Bosanko's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

Is Tracy Bosanko enrolled in Medicare?

Yes. Tracy Bosanko 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 Tracy Bosanko accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Tracy Bosanko 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.

When was this NPI record last updated?

The NPPES record for Tracy Bosanko was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.