Active NPI
Cornerstone Family Practice, PLC
- Family Medicine Physician
- East Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CORNERSTONE FAMILY PRACTICE, PLC
- Practice address
- 2852 Eyde Pkwy Ste 175
East Lansing, MI 48823-5378 - Phone
- (517) 333-4600
- Fax
- (517) 333-4996
- NPI assigned
- Apr 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebekah Sue Anderson
- Title
- Practice Manager
- Phone
- (517) 333-4600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2852 Eyde Pkwy Ste 175
East Lansing, MI 48823-5378
Mailing address
2852 Eyde Pkwy
Suite 175
East Lansing, MI 48823-5378
Phone (517) 333-4600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080C311550 | Other | MI | BCBS |
| G07108 | Other | MI | BCN GRP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0700923 | Cornerstone Family Practice | Provider-performed microscopy | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
6612 Solutions Ctr
Chicago, IL 60677
Dept CH 19153
Palatine, IL 60055
2701 Cambridge Ct
Ste 200
Auburn Hills, MI 48326
Phone (248) 484-4912
2852 Eyde Pkwy
East Lansing, MI 48823
Phone (517) 333-4600
2852 Eyde Pkwy
Ste 175
East Lansing, MI 48823
Phone (517) 333-4600
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- East Lansing, MI
- NPI 1760757561
-
- Physician Assistant
- East Lansing, MI
- NPI 1730740507
-
- Physician Assistant
- East Lansing, MI
- NPI 1649472523
-
- Physician Assistant
- East Lansing, MI
- NPI 1265120034
-
- Physician Assistant
- East Lansing, MI
- NPI 1790327187
-
- Physician Assistant
- East Lansing, MI
- NPI 1629024856
-
- Ophthalmology Physician
- Muskegon, MI
- NPI 1699086140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730073600000",
"number": "1275655920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2852 EYDE PKWY",
"address_2": "SUITE 175",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488235378",
"telephone_number": "517-333-4600",
"fax_number": "517-333-4996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2852 EYDE PKWY STE 175",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488235378",
"telephone_number": "517-333-4600",
"fax_number": "517-333-4996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE FAMILY PRACTICE, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-04",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "REBEKAH",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "517-333-4600"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "080C311550",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN GRP",
"identifier": "G07108",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.