Individual provider Active NPI

Elizabeth J Stellema, NP-C

  • Internal Medicine Physician
  • Bingham Farms, MI
National Provider Identifier
1316557366
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1629011572 Issued in MI
Practice address
30800 Telegraph Rd
Bingham Farms, MI 48025-4542
Phone
(248) 347-9437
NPI assigned
Aug 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1629011572 MI Primary

Addresses

Primary practice location

30800 Telegraph Rd
Bingham Farms, MI 48025-4542

Mailing address

24396 Knollwood St
Novi, MI 48375-2632
Phone (248) 347-9437

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
I20211116000392 MI Practitioner - Nurse Practitioner 4981093895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ih Physician Services PCGroup PAC ID 5991165458, 56 clinicians

Practice addresses (Care Compare)

Southfield, MI 48033
Phone (248) 809-1442

Hospital & facility affiliations

  • Michigan Community Vna Home health agency, Bingham Farms, MI, CCN 237016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1629011572MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ih Physician Services, PC CurrentSince Jan 6, 2025 Accepting new patients
Ih Physician Services PC CurrentSince Jan 6, 2025 Accepting new patients
Ih Physician Services PC Past Accepting new patients

Locations

39425 Garfield Rd
Ste 22A
Clinton Township, MI 48038
Phone (586) 649-3181

1320 Waldo Ave
Ste 300
Midland, MI 48642
Phone (586) 649-3181

26211 Central Park Blvd
Ste 600
Southfield, MI 48076
Phone (248) 936-2075

25925 Telegraph Rd
Ste 102A
Southfield, MI 48033
Phone (248) 809-1442

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

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": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1316557366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24396 KNOLLWOOD ST",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752632",
            "telephone_number": "248-347-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30800 TELEGRAPH RD",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254542",
            "telephone_number": "248-347-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLEMA",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "1629011572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

Verify at the official NPI Registry.