Eric D Mozurkewich, NP-C, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704286616 Issued in MI

Practice address

18463 Livernois Ave
Detroit, MI 48221-2254

Phone

(313) 861-4000

NPI assigned

Oct 5, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eric.mozurkewich.1@33060.direct.athenahealth.com
• Direct secure messaging: emozurkewich778871@direct.hfhs.org
• Direct secure messaging: ericmozurkewich@epicpc.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Exclusive Physicians PLLC

  • Multi-Specialty Clinic/Center
  • Ferndale, MI
  • NPI 1811226749
  Medicare reassignment NPD
• Epic Care Centers Inc

  • Family Medicine Physician
  • Hamtramck, MI
  • NPI 1659145506
  Medicare reassignment

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647043200000",
    "number": "1801493747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18463 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212254",
            "telephone_number": "313-861-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18463 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212254",
            "telephone_number": "313-861-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZURKEWICH",
        "first_name": "ERIC",
        "middle_name": "D",
        "credential": "NP-C, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-05",
        "last_updated": "2022-03-12",
        "certification_date": "2022-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704286616",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MI",
            "license": "4704286616",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adetola Gbenga Mowo-Wale, MBCHB
• Angel Moye
• Erin Moyer, RN
• Kelsey Moynihan
• Nasser Mozep, PHARM.D.
• Muharem Mrkaljevic, DDS
• Matthew Thomas Mroozian, RPH
• Jodi Mrosko
• Mrs. Phyllis Home Health Care LLC
• Ketiwe H Msipha, SWT

• Family Nurse Practitioner in Detroit, MI
• Providers in Detroit, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.