Organization Active NPI

Cornerstone Family Practice, PLC

  • Family Medicine Physician
  • East Lansing, MI
National Provider Identifier
1275655920
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Oct 28, 2024

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
080C311550OtherMIBCBS
G07108OtherMIBCN GRP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050114000096 MI Part B Supplier - Clinic/Group Practice 1052360245 Receives reassigned benefits from 6 practitioners
Practice locations: East Lansing, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0700923Cornerstone Family Practice2852 Eyde Parkway Suite 175, East Lansing, MI 48823Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.