Marie Stevens, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601012176 Issued in MI

Practice address

2870 E Grand Blvd
Ste 600 PMB 1042
Detroit, MI 48202

Phone

(231) 239-6101

Fax

(231) 251-8267

NPI assigned

Jan 23, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, MI2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Resilience Mental Health and WellnessGroup PAC ID 7517329600, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Resilience Mental Health and Wellness

  • Psychologist
  • Detroit, MI
  • NPI 1629758081
  Medicare reassignment Care Compare group
• Anywhere Clinic LLC

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1316460850
  Medicare reassignment
• Optum Medical Group II Rhodes P C

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1790329407
  Medicare reassignment
• Southwest Medical Associates, Inc

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1659346005
  Medicare reassignment

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762560000000",
    "number": "1134542343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1571 SUNDOWN DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890028843",
            "telephone_number": "231-239-6101",
            "fax_number": "231-251-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 E GRAND BLVD",
            "address_2": "STE 600 PMB 1042",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48202",
            "telephone_number": "231-239-6101",
            "fax_number": "231-251-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-23",
        "last_updated": "2025-11-08",
        "certification_date": "2025-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MI",
            "license": "5601012176",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayna Stevens, LMSW
• Glenn Amin Stevens
• Jamila Maca-Elaine Stevens, MSW
• Jan Valentijn Stevens, MD
• Lashon Denise Stevens
• Stephanie Nicole Stevens, MD
• Tyechia S Stevens
• Alexis Nicole Stevenson
• Bianca Denise Stevenson
• Okema Stevenson

• Physician Assistant in Detroit, MI
• Providers in Detroit, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2025; 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.

Verify at the official NPI Registry.