Bethany Musallam, CPNP-PC
NPI 1295912624 · Pediatric Nurse Practitioner · Shelby Township, MI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bethany Musallam, CPNP-PC is a Pediatric Nurse Practitioner provider in Shelby Township, MI (NPI 1295912624).
Provider details
- NPI number
- 1295912624
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-PC
- Sex
- Female
- Sole proprietor
- No
- License
- 4704244961 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 44201 Dequindre Rd Ste EcTroy, MI 48085-1117Phone: (248) 964-5000
Registry dates
- Enumerated
- 2008-01-29
- Last updated
- 2022-07-29
- Certified
- 2022-07-29
Frequently asked questions
- What is Bethany Musallam's NPI number?
- Bethany Musallam's National Provider Identifier (NPI) is 1295912624, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bethany Musallam's specialty?
- Bethany Musallam is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Bethany Musallam located?
- Bethany Musallam's practice location on file with NPPES is 15125 22 Mile Rd., Shelby Township, MI 48315.
- What is Bethany Musallam's phone number?
- The practice phone number listed in the NPPES registry for Bethany Musallam is (586) 532-0599.
- Does Bethany Musallam accept Medicare?
- Bethany Musallam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bethany Musallam's NPI active?
- Yes — Bethany Musallam's NPI (1295912624) is active in the NPPES registry as of the last update on 2022-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.