Individual provider Active NPI

Stephanie M Anselmi, PA-C

  • Medical Physician Assistant
  • Monroe, MI
National Provider Identifier
1033345863
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1030 N Monroe St
Monroe, MI 48162-3113
Phone
(734) 682-3309
Fax
(734) 682-1488
NPI assigned
Jun 8, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

1030 N Monroe St
Monroe, MI 48162-3113

Mailing address

1030 N Monroe St
Monroe, MI 48162-3113
Phone (734) 682-3309

Other practice location 1

18707 Ecorse Rd
Allen Park, MI 48101-2255
Phone (734) 682-3309

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160922000118 MI Practitioner - Physician Assistant 3375830177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Neurology Associates PCGroup PAC ID 8628987468, 18 clinicians

Practice addresses (Care Compare)

22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-4000

34025 Harper Ave
Clinton Township, MI 48035-3737
Phone (586) 445-9900

468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 343-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Neurology Associates PC CurrentSince Aug 20, 2016 Accepting new patients
Anesthesia Consultants of Michigan, PLLC Past Accepting new patients
Neurological Institute of Interventional Pain Management PLLC PastSince Jan 31, 2017 Accepting new patients

Locations

34025 Harper Ave
Clinton Twp, MI 48035
Phone (586) 445-9900

19699 E 8 Mile Rd
St Clr Shores, MI 48080
Phone (586) 445-9900

Interoperability endpoints

  • Direct secure messaging: michiganneurologyassociates.stephanieanselmi@158246.advancedmd-direct.com
  • Direct secure messaging: smichael311577@direct.hfhs.org

Organizations & group practices 3

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1033345863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623113",
            "telephone_number": "734-682-3309",
            "fax_number": "734-682-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623113",
            "telephone_number": "734-682-3309",
            "fax_number": "734-682-1488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18707 Ecorse Rd",
            "address_purpose": "LOCATION",
            "city": "Allen Park",
            "state": "MI",
            "postal_code": "481012255",
            "country_code": "US",
            "telephone_number": "734-682-3309",
            "fax_number": "734-682-1488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANSELMI",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.