Individual provider Active NPI

Julie M Stevens, D.O.

  • Family Medicine Physician
  • Mount Pleasant, MI
National Provider Identifier
1346246337
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
JS013404 Issued in MI
Practice address
416 N Mission
Mount Pleasant, MI 48858
Phone
(989) 773-3789
Fax
(989) 773-6677
NPI assigned
Jun 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X JS013404 MI Primary

Addresses

Primary practice location

416 N Mission
Mount Pleasant, MI 48858

Mailing address

9511 S Crawford Rd
Shepherd, MI 48883-8504
Phone (989) 828-5763

Other identifiers 1

IdentifierTypeStateIssuer
4435777 TYPE 11MedicaidMI

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060612000213 MI Practitioner - Family Practice 0749292779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prism Medical Associates PCGroup PAC ID 6406076397, 4 clinicians

Practice addresses (Care Compare)

1621 E Broomfield St
Suite C
Mt Pleasant, MI 48858-5427
Phone (989) 817-4600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
JS013404MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Medical Practice PC CurrentSince Jun 6, 2026 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Ruby Medical Practice Past Accepting new patients

Locations

3410 Belle Chase Way
Ste 600
Lansing, MI 48911
Phone (517) 999-9020

100 Charles Ewing Blvd
Ste 160
Trenton, NJ 08628
Phone (212) 878-7685

Interoperability endpoints

  • Direct secure messaging: prismprimarycare.juliemariestevens@135254.advancedmd-direct.com
  • Direct secure messaging: julie.stevens@217526021193732.direct.elationemr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346246337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9511 S CRAWFORD RD",
            "city": "SHEPHERD",
            "state": "MI",
            "postal_code": "488838504",
            "telephone_number": "989-828-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N MISSION",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-773-3789",
            "fax_number": "989-773-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JULIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "JS013404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4435777 TYPE 11",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, MI

Sources for this page

Verify at the official NPI Registry.