Active NPI
Stacy A Uebele, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Hastings, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 001970
- Practice address
- 1005 W Green St
304
Hastings, MI 49058-1712 - Phone
- (269) 948-9155
- Fax
- (269) 948-9577
- NPI assigned
- Jul 25, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 001970 | MI | Primary |
Addresses
Primary practice location
1005 W Green St
304
Hastings, MI 49058-1712
Mailing address
P O Box 362
Hastings, MI 49058
Phone (269) 948-9155
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4766591 | Medicaid | MI | |
| 4710219 | Medicaid | MI | |
| 4710193 | Medicaid | MI |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1005 W Green St
Suite 200
Hastings, MI 49058-1710
Phone (269) 948-9155
2144 E Paris Ave SE
Suite 100
Grand Rapids, MI 49546-6117
Phone (616) 281-0666
501 W Washington St
Newaygo, MI 49337-8036
Phone (231) 652-5955
Hospital & facility affiliations
- University of Michigan Health-Sparrow Carson
- Spectrum Health United Hospital
- Corewell Health Pennock Hospital
- Corewell Health Gerber Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.43 of 100
- Quality
- 42.95
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.48 of 100
- Quality
- 74.96
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 129 |
| Removal of skin lesions | 18 |
| Removal of nail tissue | 566 |
| Removal or shaving of skin growth | 56 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001970 | MI | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot & Ankle Specialists of West Michigan P L L C | Foot & Ankle Surgery | Current | Accepting new patients |
| Foot & Ankle Specialists of West Michigan P L L C | Foot & Ankle Surgery | Current | Accepting new patients |
| Grandview Foot and Ankle PC | Past | Accepting new patients |
Locations
1660 Feehanville Dr
Ste 450
Mt Prospect, IL 60056
Phone (847) 250-9629
102 S 3rd St
Ste 400
Carson City, MI 48811
Phone (989) 584-3142
2144 East Paris Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 281-0666
1005 W Green St
Ste 200
Hastings, MI 49058
Phone (269) 948-9155
501 W Washington St
Newaygo, MI 49337
Phone (231) 652-5955
Interoperability endpoints
- suebele@yourcarecommunity.org
Organizations & group practices 6
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.
-
- Primary Podiatric Medicine Podiatrist
- Grand Rapids, MI
- NPI 1154460962
Foot & Ankle Surgery
-
- Foot & Ankle Surgery Podiatrist
- Carson City, MI
- NPI 1639907165
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Corewell Health Gerber Hospital
- Critical Access Hospital
- Fremont, MI
- NPI 1063836963
-
dba Corewell Health Pennock Hospital
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
dba University of Michigan Health-Sparrow
- General Acute Care Hospital
- Carson City, MI
- NPI 1336103043
-
dba Corewell Health Greenville Hospital
- General Acute Care Hospital
- Greenville, MI
- NPI 1457304495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1063435659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 362",
"city": "HASTINGS",
"state": "MI",
"postal_code": "49058",
"telephone_number": "269-948-9155",
"fax_number": "269-948-8964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 W GREEN ST",
"address_2": "304",
"city": "HASTINGS",
"state": "MI",
"postal_code": "490581712",
"telephone_number": "269-948-9155",
"fax_number": "269-948-9577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UEBELE",
"first_name": "STACY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MI",
"license": "001970",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4766591",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4710219",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4710193",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hastings, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.