Individual provider Active NPI

Stacey Steeno, CNM

  • Advanced Practice Midwife
  • Muskegon, MI
National Provider Identifier
1356724702
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
4704239783 Issued in MI
Practice address
2700 Baker St
Muskegon, MI 49444-2157
Phone
(231) 737-1335
NPI assigned
Jul 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 4704239783 MI Primary

Addresses

Primary practice location

2700 Baker St
Muskegon, MI 49444-2157

Mailing address

8195 Bel Cherrie Dr
Traverse City, MI 49686-1636
Phone (231) 590-8006

Other practice location 1

1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 935-5000

Other identifiers 1

IdentifierTypeStateIssuer
1356724702OtherMINPI

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150806012028 MI Practitioner - Certified Nurse Midwife (CNM) 6305150152 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Traverse Womens Clinic PLLC CurrentSince Dec 1, 2016 Accepting new patients
Hackley Community Care Center Inc CurrentSince Jul 13, 2015 Accepting new patients
Hackley Community Care Center, Inc CurrentSince Jul 13, 2015 Accepting new patients
Munson Medical Center CurrentSince Dec 28, 2022 Accepting new patients
Munson Medical Center Current Accepting new patients
Munson Medical Center CurrentSince Dec 28, 2022 Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

2700 Baker St
Fl 3
Muskegon Heights, MI 49444
Phone (231) 733-6607

2700 Baker St
Muskegon Hts, MI 49444
Phone (231) 737-8603

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1200 Sixth St
Ste 400
Traverse City, MI 49684
Phone (231) 392-0650

Interoperability endpoints

  • Direct secure messaging: ssteeno@gtwc.directglo.com

Organizations & group practices 6

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": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1356724702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8195 BEL CHERRIE DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496861636",
            "telephone_number": "231-590-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 BAKER ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494442157",
            "telephone_number": "231-737-1335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Sixth St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842345",
            "country_code": "US",
            "telephone_number": "231-935-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEENO",
        "first_name": "STACEY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704239783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356724702",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.