Individual provider Active NPI

Beth Ann Stille, NP

  • Family Nurse Practitioner
  • Muskegon, MI
National Provider Identifier
1164881694
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704254760 Issued in MI
Practice address
2009 Holton Rd
Muskegon, MI 49445-1578
Phone
(231) 291-8399
NPI assigned
Feb 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704254760 MI Primary

Addresses

Primary practice location

2009 Holton Rd
Muskegon, MI 49445-1578

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

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
I20160706001054 MI Practitioner - Nurse Practitioner 8729370176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infusion Associates PLLCGroup PAC ID 0840185203, 18 clinicians

Practice addresses (Care Compare)

1399 W Centre Ave
Portage, MI 49024-5300
Phone (616) 954-0600

1600 S Beacon Blvd
Suite 100
Grand Haven, MI 49417-2654
Phone (614) 954-0600

3230 Eagle Park Dr NE
Suite 101
Grand Rapids, MI 49525-7047
Phone (616) 954-0600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.21 of 100Reported as group
Quality
88.24
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704254760MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion Associates PLLC CurrentSince Oct 17, 2022 Accepting new patients
Mercy Health Partners PastSince Aug 31, 2022 Accepting new patients
Little People Urgent Care PLC PastSince Mar 1, 2016 Accepting new patients

Locations

3270 Washtenaw Ave
Ann Arbor, MI 48104

250 W Eisenhower Pkwy
Ste 130
Ann Arbor, MI 48103

43650 Garfield Rd
Ste 104
Clinton Township, MI 48038
Phone (313) 756-7990

44720 Hayes Rd
Ste 200
Clinton Township, MI 48038

830 W Lake Lansing Rd
East Lansing, MI 48823
Phone (517) 333-3777

830 W Lake Lansing Rd
Ste 150
East Lansing, MI 48823
Phone (517) 897-9200

1600 S Beacon Blvd
Grand Haven, MI 49417
Phone (614) 954-0600

1600 S Beacon Blvd
Ste 100
Grand Haven, MI 49417
Phone (614) 954-0600

3230 Eagle Park Dr NE
Ste 101
Grand Rapids, MI 49525

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

4343 Chicago Dr SW
Grandville, MI 49418

39475 Lewis Dr
Ste 140
Novi, MI 48377
Phone (248) 489-0766

1399 W Centre Ave
Portage, MI 49024
Phone (269) 615-1657

363 W Big Beaver Rd
Ste 126
Troy, MI 48084
Phone (248) 220-5230

363 W Big Beaver Rd
Ste 125
Troy, MI 48084

Interoperability endpoints

  • Direct secure messaging: bethstille@mfc.allscriptsdirect.net
  • Direct secure messaging: bstille2070762@direct.trinity-health.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 1

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": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1164881694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 HOLTON RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494451578",
            "telephone_number": "231-291-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLE",
        "first_name": "BETH",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704254760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.