Individual provider Active NPI

Joanne Mozuras, RN, CNM, MS

  • Advanced Practice Midwife
  • Clinton Township, MI
National Provider Identifier
1306827183
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
4704130050 Issued in MI
Practice address
16151 19 Mile Rd Ste 300
Clinton Township, MI 48038-1159
Phone
(586) 228-1760
Fax
(586) 228-2672
NPI assigned
Nov 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 4704130050 MI Primary

Addresses

Primary practice location

16151 19 Mile Rd Ste 300
Clinton Township, MI 48038-1159

Mailing address

16151 19 Mile Rd Ste 300
Clinton Township, MI 48038-1159
Phone (586) 228-1760

Other identifiers 1

IdentifierTypeStateIssuer
438742MedicaidMI

Other names 1

  • Ms. Joanne Gobble Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110623000197 MI Practitioner - Certified Nurse Midwife (CNM) 8729266697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Macomb Hospital CorporationGroup PAC ID 7911808381, 349 clinicians

Practice addresses (Care Compare)

16360 26 Mile Rd
Macomb, MI 48042-1057
Phone (586) 336-2390

51221 Schoenherr Rd
Suite 201
Shelby Township, MI 48315-2718
Phone (586) 254-3545

Hospital & facility affiliations

  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation Advanced Practice Midwife CurrentSince Jul 1, 2011 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Jul 1, 2011 Accepting new patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients
Downriver Community Services, Inc. Past Accepting new patients
Macomb Family Services, Inc. Past Accepting new patients

Locations

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

16151 19 Mile Rd
Ste 300
Clinton Twp, MI 48038
Phone (586) 228-1760

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

16360 26 Mile Rd
Macomb, MI 48042
Phone (586) 336-2390

51221 Schoenherr Rd
Ste 201
Shelby Township, MI 48315
Phone (586) 254-3545

Interoperability endpoints

  • Direct secure messaging: jmozuras6757@direct.hfhs.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1306827183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16151 19 MILE RD STE 300",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381159",
            "telephone_number": "586-228-1760",
            "fax_number": "586-228-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16151 19 MILE RD STE 300",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381159",
            "telephone_number": "586-228-1760",
            "fax_number": "586-228-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZURAS",
        "first_name": "JOANNE",
        "name_prefix": "Ms.",
        "credential": "RN, CNM, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704130050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "438742",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "GOBBLE",
            "prefix": "MS.",
            "credential": "RN, CNM, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.