Stephanie A Hebberd, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704282943 Issued in MI

Practice address

251 E Peck Rd
Peck, MI 48466-9589

Phone

(810) 378-4900

Fax

(810) 378-4905

NPI assigned

Sep 21, 2015

Last updated

Apr 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie A Peruski Former name

Electronic endpoints 1

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/i-zcCbJ35X2O5bJkqEF8dvUIAeQf3o9y/
• FHIR API: https://fhir4.healow.com/fhir/r4/FHJHBA/Endpoint/FHJHBA
• Direct secure messaging: stephanie.hebberd@mhs.eclinicaldirectplus.com

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.

• McKenzie Memorial Hospital

  dba McKenzie Health System

  • Critical Access Hospital
  • Sandusky, MI
  • NPI 1497750608
  Medicare reassignment NPD
• McKenzie Memorial Hospital

  dba Peck Medical Center

  • Rural Health Clinic/Center
  • Peck, MI
  • NPI 1437917598
  NPD
• McKenzie Memorial Hospital

  dba McKenzie Rural Health Clinic

  • Rural Health Clinic/Center
  • Sandusky, MI
  • NPI 1033271135

  Nurse Practitioner

  NPD (past)
• Sciometrix LLC

  • General Practice Physician
  • Royal Oak, MI
  • NPI 1619649894
  NPD (past)
• Sciometrix Inc

  • General Practice Physician
  • Staten Island, NY
  • NPI 1457065591
  NPD (past)

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1003285024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N DELAWARE ST",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711009",
            "telephone_number": "810-648-0561",
            "fax_number": "810-648-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E PECK RD",
            "city": "PECK",
            "state": "MI",
            "postal_code": "484669589",
            "telephone_number": "810-378-4900",
            "fax_number": "810-378-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBBERD",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704282943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie.peruski@mhs.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "251 E Peck Rd",
            "city": "Peck",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484669589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "PERUSKI",
            "middle_name": "A",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristin Marie Dubay
• Flushing Association in Transitional Housing Inc.
• Great Lakes Counseling and Wellness Center, LLC
• Great Lakes Healthcare, PLLC
• Cole Hamblin, PHARMD
• Jodie Jones, LLMSW
• Candace Kidd
• Martinez Afc
• McKenzie Memorial Hospital (Peck Medical Center)
• Dawn Kelly Richardson

• Family Nurse Practitioner in Peck, MI
• Providers in Peck, 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 Apr 13, 2023; 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.