CARLY STEMPIEN MOUHAJER
NPI 1194346130
Nurse Practitioner in Southfield, MI

Active since April 30, 2020PECOS EnrolledAccepts Medicare Assignment
22301 FOSTER WINTER DR, SOUTHFIELD, MI 48075(248) 849-8607(248) 849-8108 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 15, 2023, Mar 10, 2023 (2 updates tracked since 2023).

About Carly Stempien Mouhajer NPPES

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

CARLY STEMPIEN MOUHAJER (NPI 1194346130) is an individual nurse practitioner in Southfield, Michigan, licensed in Michigan (4704311262) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and maintains a secondary practice location in Southfield.

NPPES Registry Identity

NPI1194346130
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCARLY STEMPIEN MOUHAJER
Location Address22301 FOSTER WINTER DRSouthfield, MI 48075-3707
Mailing Address22350 Waterland DrNorthville, MI 48167-3559 · (313) 570-5225
Fax(248) 849-8108
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 30, 2020
Last NPPES UpdateMarch 15, 20232 updates tracked since enumeration
NPPES CertifiedMarch 15, 2023
NPI 1194346130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MI · 4704311262
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.

Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 4704311262 (MI)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 4704311262 (MI)
22301 FOSTER WINTER DR, Southfield, MI 48075

Secondary Practice Location 1

Location 116001 W 9 Mile RdSouthfield, MI 48075-4818 · Phone (248) 849-3000

Accepted 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

Carly Stempien Mouhajer 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 ID9739553785
PECOS Enrollment IDI20230315000717
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 2

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

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230019
Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 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 20

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

Internal Medicine (Medical Oncology)
22301 FOSTER WINTER DR, 200
SOUTHFIELD, MI 48075
Internal Medicine (Infectious Disease)
22301 FOSTER WINTER DR, SUITE 200
SOUTHFIELD, MI 48075
Internal Medicine (Infectious Disease)
22301 FOSTER WINTER DR, 2ND FLOOR
SOUTHFIELD, MI 48075
Internal Medicine (Medical Oncology)
22301 FOSTER WINTER DR, 2ND FLOOR
SOUTHFIELD, MI 48075
Internal Medicine (Hematology & Oncology)
22301 FOSTER WINTER DR, 2ND FLOOR
SOUTHFIELD, MI 48075
Internal Medicine (Medical Oncology)
22301 FOSTER WINTER DR, SECOND FLOOR
SOUTHFIELD, MI 48075
Internal Medicine (Medical Oncology)
22301 FOSTER WINTER DR, SUITE 200
SOUTHFIELD, MI 48075
Specialist
22301 FOSTER WINTER DR, SECOND FLOOR
SOUTHFIELD, MI 48075

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194346130, enumerated as an "individual" on April 30, 2020.

The provider is located at 22301 FOSTER WINTER DR SOUTHFIELD, MI 48075 and the phone number is (248) 849-8607.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Carly Mouhajer is affiliated with: ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI and ASCENSION ST JOHN HOSPITAL.