EMILY SUZANNE BOUSAMRA CNM
NPI 1750552394
Advanced Practice Midwife in Ann Arbor, MI
NPI Status: Active since March 21, 2008
Contact Information
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109
Phone: (734) 936-4000
- Individual
- Female
- Advanced Practice Midwife
- Accepts Insurance
- PECOS Enrolled
About EMILY BOUSAMRA
This page provides the complete NPI Profile along with additional information for Emily Bousamra, a provider established in Ann Arbor, Michigan with a medical specialization in Advanced Practice Midwife. The healthcare provider is registered in the NPI registry with number 1750552394 assigned on March 2008. The practitioner's primary taxonomy code is 367A00000X with license number 4704219758 (MI). The provider is registered as an individual and her NPI record was last updated February 2025.
- NPI
- 1750552394
- Provider Name
- EMILY SUZANNE BOUSAMRA CNM
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1500 E MEDICAL CENTER DR ANN ARBOR, MI 48109
- Location Phone
- (734) 936-4000
- Mailing Address
- 3621 S STATE ST ANN ARBOR, MI 48108
- Mailing Phone
- (734) 647-5299
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-21-2008
- Last Update Date
- 02-25-2025
- Code Navigator
Location Map
Secondary Locations
- 4200 Whitehall Dr Ste 330
Ann Arbor, MI 48106
(734) 572-9600
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Advanced Practice Midwife
- Taxonomy Code
- 367A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 4704219758
- License State
- MI
- Taxonomy Description
- Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Bronze First - HMO
- Bronze First Adult Vision & Fitness - HMO
- Diabetes Gold - HMO
- Diabetes Gold Adult Vision & Fitness - HMO
- Diabetes Silver - HMO
- Diabetes Silver Adult Vision & Fitness - HMO
- Gold - HMO
- Gold Adult Vision & Fitness - HMO
- HDHP Preventive Silver - HMO
- Healthy Heart Gold - HMO
- Healthy Heart Gold Adult Vision & Fitness - HMO
- Healthy Heart Silver - HMO
- Healthy Heart Silver Adult Vision & Fitness - HMO
- Low Premium Silver - HMO
- Low Premium Silver Adult Vision & Fitness - HMO
- Silver - HMO
- Silver Adult Vision & Fitness - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Balanced Silver Southeast Michigan Network - HMO
- MyPriority Balanced Silver Trinity Health East Network - HMO
- MyPriority Enhanced Gold Southeast Michigan Network - HMO
- MyPriority Enhanced Gold Trinity Health East Network - HMO
- MyPriority Premier Silver - HMO
- MyPriority Premier Silver Southeast Michigan Network - HMO
- MyPriority Premier Silver Trinity Health East Network - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Southeast Michigan Network - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Bronze - Trinity Health East Network - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Gold Southeast Michigan Network - HMO
- MyPriority Standard Gold Trinity Health East Network - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Southeast Michigan Network - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Standard Silver - Trinity Health East Network - HMO
- MyPriority Value Bronze - HMO
- University of Michigan Health Plan HMO Exclusive Bronze - HMO
- University of Michigan Health Plan HMO Exclusive Bronze HSA - HMO
- University of Michigan Health Plan HMO Exclusive Bronze Standard - HMO
- University of Michigan Health Plan HMO Exclusive Catastrophic - HMO
- University of Michigan Health Plan HMO Exclusive Gold Classic - HMO
- University of Michigan Health Plan HMO Exclusive Gold Select - HMO
- University of Michigan Health Plan HMO Exclusive Gold Standard - HMO
- University of Michigan Health Plan HMO Exclusive Silver - HMO
- University of Michigan Health Plan HMO Exclusive Silver Select Plus - HMO
- University of Michigan Health Plan HMO Exclusive Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Emily Bousamra is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 48109 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.76
- Minimum New Patient Price $58.04
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.69
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.38
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $143.49
- Average Established Patient Copayment $18.09
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $35.87
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 5 | 5 | 2 | 3 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 10 | 5 | 4 | 3 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 0 + 5 + 4 + 3 + 1 + 8 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1750552394 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. TAMI L. REMINGTON PHARM.D.
Pharmacist
(Pharmacotherapy)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109
DR. JAMES G STEVENSON PHARMD
Pharmacist
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109
DR. SALLY K GUTHRIE PHARM.D.
Pharmacist
(Psychiatric)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109
DR. KARLA AURORA BLACKWOOD MD
Psychiatry & Neurology
(Psychiatry)
1500 E MEDICAL CENTER DR
B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY
ANN ARBOR, MI
ZIP 48109
DEBORAH LOUISE VIHER NP
Nurse Practitioner
1500 E MEDICAL CENTER DR
3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI
ZIP 48109
MS. DEBRA BANCROFT RIZZO F.N.P.-C
Nurse Practitioner
1500 E MEDICAL CENTER DR
3RD TAUBMAN CENTER RECP A
ANN ARBOR, MI
ZIP 48109
DR. ELIZABETH KATHERINE SPELIOTES MD PHD
Internal Medicine
(Gastroenterology)
1500 E MEDICAL CENTER DR
3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI
ZIP 48109
DR. ROBERT ADAM LIOTTA M.D.
Radiology
(Diagnostic Radiology)
1500 E MEDICAL CENTER DR
B1 FLOOR UNIVERSITY HOSPITAL RECP C
ANN ARBOR, MI
ZIP 48109
LISA A HARRIS SPINNER CRNA
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
1ST FLOOR TAUBMAN CENTER RECP E
ANN ARBOR, MI
ZIP 48109
SHANNON LEE MITCHELL CRNA
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI
ZIP 48109
CHRISTINA BUSH CRNA
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109
MARLENA STANKIEWICZ CRNA
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI
ZIP 48109
DENISE R BAUER N.P.
Nurse Practitioner
1500 E MEDICAL CENTER DR
7TH FLOOR MOTT RM F7830
ANN ARBOR, MI
ZIP 48109
MRS. CARRIE LEE LINT RN ACNP
Nurse Practitioner
1500 E MEDICAL CENTER DR
2ND FLOOR TAUBMAN CENTER RECP G
ANN ARBOR, MI
ZIP 48109
MRS. TAMARA MANGAN GHORMLEY NP
Nurse Practitioner
(Family)
1500 E MEDICAL CENTER DR
B1 FLOOR CANCER CTR RECP C
ANN ARBOR, MI
ZIP 48109
ELENA MARTINEZ STOFFEL MD MPH
Internal Medicine
(Gastroenterology)
1500 E MEDICAL CENTER DR
3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI
ZIP 48109
DR. DAVID J BROWN M.D.
Otolaryngology
1500 E MEDICAL CENTER DR
2ND FLOOR TAUBMAN CTR RECP G
ANN ARBOR, MI
ZIP 48109
KEITH GINGERICH CRNA
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109
MRS. DANIELLE JEANETTE BOZAAN NP
Nurse Practitioner
1500 E MEDICAL CENTER DR
2ND FLOOR TAUBMAN CTR RECP G
ANN ARBOR, MI
ZIP 48109
MARK YAT-FUNG CHIANG MD
Internal Medicine
(Hematology & Oncology)
1500 E MEDICAL CENTER DR
B1 FLOOR CANCER RECP B
ANN ARBOR, MI
ZIP 48109
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750552394, enumerated as an "individual" on March 21, 2008.
The provider is located at 1500 E MEDICAL CENTER DR ANN ARBOR, MI 48109 and the phone number is (734) 936-4000.
Advanced Practice Midwife with taxonomy code 367A00000X.
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
