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MRS. CARLY ALYSE SHAMOUN FNP-C
NPI 1639796089
Nurse Practitioner - Family in Commerce Township, MI

Active since July 01, 2020PECOS Enrolled
9640 COMMERCE RD STE 104, COMMERCE TOWNSHIP, MI 48382(248) 363-1500 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2023, Jul 1, 2020 (2 updates tracked since 2020).

About Mrs. Carly Alyse Shamoun Fnp-c NPPES

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

MRS. CARLY ALYSE SHAMOUN FNP-C (NPI 1639796089) is an individual family provider in Commerce Township, Michigan, licensed in Michigan (4704314978) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639796089
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CARLY ALYSE SHAMOUNCredential: FNP-C
Location Address9640 COMMERCE RD STE 104Commerce Township, MI 48382-4167
Mailing Address210 Fountain Park DrWaterford, MI 48327-3529 · (248) 410-1256
Phone(248) 363-1500
Sole ProprietorYes
Enumeration DateJuly 1, 2020
Last NPPES UpdateAugust 9, 20232 updates tracked since enumeration
NPPES CertifiedJuly 1, 2020
✔ NPI 1639796089 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 · 4704314978
9640 COMMERCE RD STE 104, Commerce Township, MI 48382
Open in Google Maps ↗

Other Names 1

Former Name (1)Carly Alyse Baldassarra Fnp-c

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. Carly Alyse Shamoun Fnp-c 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 48382 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 2

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

KELSEY A AUSTIN
Nurse Practitioner (Family)
9640 COMMERCE RD STE 104
COMMERCE TOWNSHIP, MI 48382
Oakland County (248) 363-1500
MEGHAN RACHELLE NEILL NP-BC
Nurse Practitioner (Family)
9640 COMMERCE RD STE 104
COMMERCE TOWNSHIP, MI 48382
Oakland County (248) 363-1500

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 Carly Shamoun's NPI number?

The NPI number for Carly Shamoun is 1639796089. It was assigned to this individual provider in the NPPES registry on July 1, 2020. The provider is also known as Carly Alyse Baldassarra Fnp-C.

Where is Carly Shamoun located?

Carly Shamoun practices at 9640 Commerce Rd Ste 104, Commerce Township, MI 48382. The listed phone number is (248) 363-1500.

What is Carly Shamoun's specialty?

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

Is Carly Shamoun enrolled in Medicare?

Yes. Carly Shamoun is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carly Shamoun was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.