Haley Carissa Stowe, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704350735 Issued in MI

Practice address

1192 W Bristol Rd
Flint, MI 48507-5518

Phone

(810) 535-5530

NPI assigned

Nov 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Haley Carissa Dinsmore Former name

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

S L Husain Hamzavi MD PCGroup PAC ID 7012976590, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Huron Medical Center Hospital, Port Huron, MI, CCN 230031
• McLaren Port Huron Hospital, Port Huron, MI, CCN 230216

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• S L Husain Hamzavi MD PC

  dba Hamzavi Dermatology

  • Dermatology Physician
  • Clinton TWP, MI
  • NPI 1407943962
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLaren Port Huron

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1982685384
  Care Compare affiliation
• Prime Healthcare Services-Port Huron LLC

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1306227764
  Care Compare affiliation

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1174168892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 GEHRING DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485062262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485075518",
            "telephone_number": "810-535-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOWE",
        "first_name": "HALEY",
        "middle_name": "CARISSA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704350735",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": "4704350735",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "DINSMORE",
            "middle_name": "CARISSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Andrea Stortini
• Amanda Jean Stout, LLBSW
• Peter J. Stoyanoff, M.D.
• David Arthur Strahle, MD
• Streamline Surgical Solutions Michigan PLLC (Imagine Dental Implant Center)
• Tina Streeter, CNA
• Ronald Streetman

• Nurse Practitioner in Flint, MI
• Providers in Flint, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.