DR. MARIAM BASSALIOUS DNP, FNP-BC
NPI 1366102378
Nurse Practitioner - Family in Hamtramck, MI

Active since December 19, 2021PECOS Enrolled
9021 JOSEPH CAMPAU ST, HAMTRAMCK, MI 48212(313) 871-1927 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2025, Jan 7, 2022, Dec 19, 2021 (3 updates tracked since 2021).

About Dr. Mariam Bassalious Dnp, Fnp-bc NPPES

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

DR. MARIAM BASSALIOUS DNP, FNP-BC (NPI 1366102378) is an individual family provider in Hamtramck, Michigan, licensed in Michigan (4704344060) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366102378
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. MARIAM BASSALIOUSCredential: DNP, FNP-BC
Location Address9021 JOSEPH CAMPAU STHamtramck, MI 48212-3726
Mailing Address9021 Joseph Campau StHamtramck, MI 48212-3726 · (313) 871-1926
Sole ProprietorNo
Enumeration DateDecember 19, 2021
Last NPPES UpdateJuly 11, 20253 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
NPI 1366102378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704344060
9021 JOSEPH CAMPAU ST, Hamtramck, MI 48212

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 (PECOS)

Dr. Mariam Bassalious Dnp, Fnp-bc 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 48212 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 4

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

Advanced Practice Midwife
9021 JOSEPH CAMPAU ST
HAMTRAMCK, MI 48212
Nurse Practitioner (Family)
9021 JOSEPH CAMPAU ST
HAMTRAMCK, MI 48212
Clinic/Center (Federally Qualified Health Center (FQHC))
9021 JOSEPH CAMPAU ST
HAMTRAMCK, MI 48212
Community Health Worker
9021 JOSEPH CAMPAU ST
HAMTRAMCK, MI 48212

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 Mariam Bassalious's NPI number?

The NPI number for Mariam Bassalious is 1366102378. It was assigned to this individual provider in the NPPES registry on December 19, 2021.

Where is Mariam Bassalious located?

Mariam Bassalious practices at 9021 Joseph Campau St, Hamtramck, MI 48212. The listed phone number is (313) 871-1927.

What is Mariam Bassalious's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mariam Bassalious enrolled in Medicare?

Yes. Mariam Bassalious is registered in the Medicare PECOS enrollment system.

What insurance does Mariam Bassalious 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 3 other insurers list Mariam Bassalious 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 Mariam Bassalious was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.