Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carly Stempien Mouhajer

Individual provider Family Nurse Practitioner · NPI 1194346130

Carly Stempien Mouhajer is a Nurse Practitioner in Southfield, Michigan. Qualified in 2020, 6 years ago. Practices with Henry Ford Health St John Hospital, a 330-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

22301 Foster Winter Dr
Southfield, MI 48075-3707
Phone: (248) 849-8607
Fax: (248) 849-8108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16001 W 9 Mile Rd, Southfield, MI 48075-4818 — (248) 849-3000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704311262 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4704311262 (MI)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 4704311262 (MI)

Record details

NPI number1194346130
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 30, 2020
Last updated in NPPESMarch 15, 2023
Certification dateMarch 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Henry Ford Health St. John Hospital — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Southfield