Individual provider Active NPI

Marissa Mozariwskyj, NP

  • Nurse Practitioner
  • Redford, MI
National Provider Identifier
1760201446
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704365590 Issued in MI
Practice address
14671 Telegraph Rd
Redford, MI 48239-3300
Phone
(313) 948-3055
NPI assigned
Oct 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704365590 MI Primary

Addresses

Primary practice location

14671 Telegraph Rd
Redford, MI 48239-3300

Mailing address

14671 Telegraph Rd
Redford, MI 48239-3300
Phone (313) 948-3055

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241105000480 MI Practitioner - Nurse Practitioner 3870026461 Reassigns benefits to 15 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patient One Care, PLLCGroup PAC ID 1658653860, 12 clinicians
Rochester Urgent Care Walk-in ClinicGroup PAC ID 4183983380, 3 clinicians

Practice addresses (Care Compare)

1740 28TH St SE
Grand Rapids, MI 49508-1414
Phone (616) 323-3999

2915 Walton Blvd
Rochester Hills, MI 48309-1419
Phone (248) 759-4222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704365590MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Farmington Hills Urgent Care Walk-in Clinic PC CurrentSince Oct 8, 2024 Accepting new patients
Ypsilanti Urgent Care Walk-in Clinic CurrentSince Oct 8, 2024 Accepting new patients
Clinton Urgent Care Walk-in Clinic CurrentSince Oct 8, 2024 Accepting new patients
Rochester Urgent Care Walk-in Clinic CurrentSince Oct 8, 2024 Accepting new patients
Chesterfield Urgent Care Walk-in Clinic CurrentSince Oct 8, 2024 Accepting new patients
Doctors Urgent Care Troy West PC CurrentSince Oct 8, 2024 Accepting new patients
Doctors Urgent Care Sterling Heights West CurrentSince Oct 8, 2024 Accepting new patients
Commerce Urgent Care Walk-in Clinic CurrentSince Oct 8, 2024 Accepting new patients
Patient One Care, PLLC CurrentSince Sep 16, 2025 Accepting new patients
Patient One Care PLLC CurrentSince Sep 16, 2025 Accepting new patients
Taylor Urgent Care PC CurrentSince Oct 8, 2024 Accepting new patients
Troy Urgent Care Walk-in Clinic CurrentSince Oct 8, 2024 Accepting new patients
Canton Urgent Care Walk-in Clinic PC CurrentSince Oct 8, 2024 Accepting new patients
Sterling Heights Urgent Care Walk-in Clinic CurrentSince Oct 8, 2024 Accepting new patients
Shelby Urgent Care Walk-in Clinic CurrentSince Oct 8, 2024 Accepting new patients
Doctors Urgent Care Southfield Past Accepting new patients

Locations

43033 Ford Rd
Canton, MI 48187
Phone (734) 927-5050

51160 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 221-1805

37150 S Gratiot Ave
Clinton Twp, MI 48036
Phone (586) 267-1334

2900 Union Lake Rd
Ste 110
Commerce Twp, MI 48382
Phone (248) 242-6049

25950 Middlebelt Rd
Farmington Hills, MI 48336
Phone (248) 803-0672

1740 28th St SE
Grand Rapids, MI 49508
Phone (616) 200-8669

345 Baldwin St
Jenison, MI 49428
Phone (616) 294-8881

14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100

2915 Walton Blvd
Rochester Hills, MI 48309
Phone (248) 375-0022

46961 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 991-5205

2161 18 Mile Rd
Sterling Heights, MI 48314
Phone (248) 250-6420

43722 Schoenherr Rd
Sterling Hts, MI 48313
Phone (586) 262-4277

23234 Ecorse Rd
Taylor, MI 48180
Phone (313) 292-8400

1933 W Maple Rd
Troy, MI 48084
Phone (248) 250-6420

4060 Rochester Rd
Troy, MI 48085
Phone (248) 250-6420

301 W Michigan Ave
Ypsilanti, MI 48197
Phone (734) 221-5440

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1760201446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14671 TELEGRAPH RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393300",
            "telephone_number": "313-948-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14671 TELEGRAPH RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393300",
            "telephone_number": "313-948-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZARIWSKYJ",
        "first_name": "MARISSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704365590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redford, MI

Sources for this page

Verify at the official NPI Registry.