Doctor profile · Federal record
Dr. Tracy Bosanko, PMHNP
Adult Psychiatric/Mental Health Registered Nurse (CMS: Nurse Practitioner) · Livonia, MI
- NPI 1184445264
- Accepts Medicare
- 2 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
17177 N Laurel Park Dr Ste 131
Livonia, MI 481523952
(734) 462-3210
fax (734) 462-1024 - Additional location
-
5842 Hathaway RD
Canton, MI 481875609
(734) 536-3043 - Mailing address
-
5842 Hathaway RD
Canton, MI 481875609
Credentials & registration
- NPI registered
- October 2024 — 2 yrs on file
- Profile last updated
- June 6, 2025
- Year of graduation
- 2024 — 2 yrs since
- Specialty taxonomy
- 163WP0809X — NUCC code
- State license (1)
- Michigan #4704329968
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1184445264. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$112
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Axsome Therapeutics, Inc. | 1 | $112.43 |
By nature of payment
Frequently asked questions
What is Dr. Tracy Bosanko's medical specialty?
Dr. Tracy Bosanko practices Adult Psychiatric/Mental Health Registered Nurse in Livonia, MI.
Where does Dr. Tracy Bosanko practice?
Dr. Tracy Bosanko practices at 17177 N Laurel Park Dr Ste 131, Livonia, MI 481523952. Office phone: 7344623210.
What is Dr. Tracy Bosanko's NPI?
Dr. Tracy Bosanko's National Provider Identifier (NPI) is 1184445264, issued by NPPES.
Does Dr. Tracy Bosanko accept Medicare assignment?
Yes. Dr. Tracy Bosanko accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.