MONICA VICTORIA MASUCCI D.O.
NPI 1619619160
Student in an Organized Health Care Education/Training Program in Ypailanti, MI

Active since April 13, 2022PECOS Enrolled
5333 MCAULEY DRIVE, ACADEMIC INTERNAL MEDICINE CLINIC, SUITE 4001, YPAILANTI, MI 48197(734) 712-3980 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 25, 2022, Apr 13, 2022 (2 updates tracked since 2022).

About Monica Victoria Masucci D.o. NPPES

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

MONICA VICTORIA MASUCCI D.O. (NPI 1619619160) is an individual student in an organized health care education/training program in Ypailanti, Michigan and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619619160
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMONICA VICTORIA MASUCCICredential: D.O.
Location Address5333 MCAULEY DRIVE, ACADEMIC INTERNAL MEDICINE CLINIC, SUITE 4001Ypailanti, MI 48197-8633
Mailing Address2502 Packard St., Unit 4206Ann Arbor, MI 48104 · (517) 775-1447
Sole ProprietorYes
Enumeration DateApril 13, 2022
Last NPPES UpdateAugust 25, 20222 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
✔ NPI 1619619160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5333 MCAULEY DRIVE, ACADEMIC INTERNAL MEDICINE CLINIC, Ypailanti, MI 48197

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Monica Victoria Masucci D.o. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Monica Masucci reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ambulatory Surgical
4011 172ND ST NE
Arlington, WA 98223
  • Reassigned Medicare billing, Washington enrollment
  • 1,285 clinicians in this Medicare group
Audiologist
1145 BROADWAY
Seattle, WA 98122
  • Reassigned Medicare billing, Washington enrollment
  • 911 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Monica Masucci's NPI number?

The NPI number for Monica Masucci is 1619619160. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Where is Monica Masucci located?

Monica Masucci practices at 5333 Mcauley Drive, Academic Internal Medicine Clinic Suite 4001, Ypailanti, MI 48197. The listed phone number is (734) 712-3980.

What is Monica Masucci's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Monica Masucci enrolled in Medicare?

Yes. Monica Masucci is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Monica Masucci's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Masucci reassigns Medicare benefits to 2 organizations: Optum Care Washington PLLC (Arlington, WA) and The Polyclinic PLLC (Seattle, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Monica Masucci's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monica Masucci accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Monica Masucci 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 Monica Masucci was last updated on August 25, 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.