Active NPI
Susan Musto, N.P.
- Nurse Practitioner
- Royal Oak, MI
National Provider Identifier
1043636772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704209353
- Practice address
- 3555 W 13 Mile Rd Ste N120
Royal Oak, MI 48073-6710 - Phone
- (855) 863-8761
- Fax
- (248) 551-2301
- NPI assigned
- Mar 5, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704209353 | MI | Primary |
Addresses
Primary practice location
3555 W 13 Mile Rd Ste N120
Royal Oak, MI 48073-6710
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Other practice location 1
28455 Haggerty Rd
suite 200
Novi, MI 48377-2982
Phone (248) 893-3200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smusto6211@direct.beaumont.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140423001182 | MI | Practitioner - Nurse Practitioner | 0648403832 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
28100 Grand River Ave
Farmington Hills, MI 48336-5970
3555 W 13 Mile Rd
Royal Oak, MI 48073-6710
3577 W 13 Mile Rd
Royal Oak, MI 48073-6710
3581 W 13 Mile Rd BCC
Beaumont Breast Care Center
Royal Oak, MI 48073-6710
Phone (248) 551-3300
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.37 of 100
- Quality
- 66.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William Beaumont Hospital | Past | Accepting new patients |
Interoperability endpoints
- smusto1455681@epic00.shdirect.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physician Assistant
- Royal Oak, MI
- NPI 1164471983
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639353600000",
"number": "1043636772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD STE 3D",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849",
"fax_number": "947-522-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3555 W 13 MILE RD STE N120",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736710",
"telephone_number": "855-863-8761",
"fax_number": "248-551-2301"
}
],
"practiceLocations": [
{
"address_1": "28455 Haggerty Rd",
"address_2": "suite 200",
"address_purpose": "LOCATION",
"city": "Novi",
"state": "MI",
"postal_code": "483772982",
"country_code": "US",
"telephone_number": "248-893-3200",
"fax_number": "248-893-2950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUSTO",
"first_name": "SUSAN",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-05",
"last_updated": "2021-12-13",
"certification_date": "2021-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704209353",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smusto6211@direct.beaumont.edu",
"affiliation": "N",
"address_1": "3555 W 13 Mile Rd Ste N120",
"city": "Royal Oak",
"state": "MI",
"country_code": "US",
"postal_code": "480736710",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.