Stephanie Maniaci, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704269057 Issued in MI

Practice address

1943 Holland Ave
Port Huron, MI 48060-1519

Phone

(810) 985-5700

NPI assigned

Jul 21, 2015

Last updated

Nov 24, 2015By 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

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: stephanie.maniaci.p1@direct.phim.nextgenshare.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.

• Port Huron Internal Medicine Associates

  • Geriatric Medicine (Internal Medicine) Physician
  • Port Huron, MI
  • NPI 1528252251
  Medicare reassignment NPD
• George J Carley DO PC

  • Family Medicine Physician
  • Port Huron, MI
  • NPI 1528173812
  NPD (past)
• Port Huron Internal Medicine

  • Family Health Clinical Nurse Specialist
  • Port Huron, MI
  • NPI 1437609781
  NPD (past)

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1114302130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1943 HOLLAND AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480601519",
            "telephone_number": "810-985-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1943 HOLLAND AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480601519",
            "telephone_number": "810-985-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIACI",
        "first_name": "STEPHANIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704269057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer J Maladecki, LLMSW
• Jessica Malburg
• Heather Lyn Malinski, LLMSW
• Linda J Mang, LPC
• Sandra Kay Mangan, FNP-BC
• Carol Ann Mann, LBSW QMRP
• George Michael Mantas, L.L.P.
• Daniel James Marcath, FNP
• Grace Markey, MD
• Lindsay Marlatt

• Family Nurse Practitioner in Port Huron, MI
• Providers in Port Huron, 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 Nov 24, 2015; 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.