Individual provider Active NPI

Stacy A Uebele, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Hastings, MI
National Provider Identifier
1063435659
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
001970 Issued in MI
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4766591MedicaidMI
4710219MedicaidMI
4710193MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041112001006 MI Practitioner - Podiatry 0648233726 Reassigns benefits to 2 organizations

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

Merit-based Incentive Payment System (MIPS)

Final score
76.43 of 100Reported as individual
Quality
42.95
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.48 of 100Reported as group
Quality
74.96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue129
Removal of skin lesions18
Removal of nail tissue566
Removal or shaving of skin growth56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001970MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Specialists of West Michigan P L L C Foot & Ankle Surgery CurrentSince Jun 15, 2024 Accepting new patients
Foot & Ankle Specialists of West Michigan P L L C Foot & Ankle Surgery CurrentSince Jun 15, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.