MRS. BETHANY ANNE MUSALLAM CPNP-PC
NPI 1295912624
Nurse Practitioner - Pediatrics in Shelby Township, MI

Q: What is Bethany Musallam's NPI number?

The NPI number for Bethany Musallam is 1295912624. It was assigned to this individual provider in the NPPES registry on January 29, 2008. The provider is also known as Bethany Anne Haver.

Q: What is Bethany Musallam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Bethany Musallam was last updated on July 29, 2022. 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.

Active since January 29, 2008PECOS Enrolled

15125 22 MILE RD., SHELBY PEDIATRICS, SHELBY TOWNSHIP, MI 48315(586) 532-0599(586) 566-8967 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mrs. Bethany Anne Musallam Cpnp-pc NPPES

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

MRS. BETHANY ANNE MUSALLAM CPNP-PC (NPI 1295912624) is an individual pediatrics provider in Shelby Township, Michigan, licensed in Michigan (4704244961) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Troy.

NPPES Registry Identity

NPI1295912624

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. BETHANY ANNE MUSALLAMCredential: CPNP-PC

Location Address15125 22 MILE RD., SHELBY PEDIATRICSShelby Township, MI 48315

Mailing Address15125 22 Mile Rd., Shelby PediatricsShelby Twp, MI 48315 · (586) 532-0599 · Fax (586) 566-8967

Phone(586) 532-0599

Fax(586) 566-8967

Sole ProprietorNo

Enumeration DateJanuary 29, 2008

Last NPPES UpdateJuly 29, 2022

NPPES CertifiedJuly 29, 2022

✔ NPI 1295912624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MI · 4704244961

Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704244961 (MI)

15125 22 MILE RD., Shelby Township, MI 48315

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Other Names 1

Former Name (1)Bethany Anne Haver

Secondary Practice Location 1

Location 144201 Dequindre Rd Ste EcTroy, MI 48085-1117 · Phone (248) 964-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Bethany Anne Musallam Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 48315 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 Bethany Musallam's NPI number?

The NPI number for Bethany Musallam is 1295912624. It was assigned to this individual provider in the NPPES registry on January 29, 2008. The provider is also known as Bethany Anne Haver.

Where is Bethany Musallam located?

Bethany Musallam practices at 15125 22 Mile Rd. Shelby Pediatrics, Shelby Township, MI 48315. The listed phone number is (586) 532-0599.

What is Bethany Musallam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Bethany Musallam enrolled in Medicare?

Yes. Bethany Musallam is registered in the Medicare PECOS enrollment system.

What insurance does Bethany Musallam accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Priority Health list Bethany Musallam 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 Bethany Musallam was last updated on July 29, 2022. 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.