Stephanie Olivia Spitery, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601010176 Issued in MI

Practice address

30488 Milford Rd
New Hudson, MI 48165-8583

Phone

(248) 437-4625

NPI assigned

Nov 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Clair Medical P.CGroup PAC ID 1850295916, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Port Huron Hospital, Port Huron, MI, CCN 230216
• Lake Huron Medical Center Hospital, Port Huron, MI, CCN 230031
• Ascension River District Hospital Hospital, East China, MI, CCN 230241

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• St. Clair Medical P.C

  • Family Medicine Physician
  • Port Huron, MI
  • NPI 1073563102
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Health River District Hospital

  • General Acute Care Hospital
  • East China, MI
  • NPI 1619941333
  Care Compare affiliation
• McLaren Port Huron

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1982685384
  Care Compare affiliation
• Prime Healthcare Services-Port Huron LLC

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1306227764
  Care Compare affiliation

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1356944490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8772 EATON RD",
            "city": "DAVISBURG",
            "state": "MI",
            "postal_code": "483501508",
            "telephone_number": "248-303-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30488 MILFORD RD",
            "city": "NEW HUDSON",
            "state": "MI",
            "postal_code": "481658583",
            "telephone_number": "248-437-4625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8772 Eaton Rd",
            "address_purpose": "LOCATION",
            "city": "Davisburg",
            "state": "MI",
            "postal_code": "483501508",
            "country_code": "US",
            "telephone_number": "248-303-2264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7125 Orchard Lake Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483223616",
            "country_code": "US",
            "telephone_number": "248-865-7481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPITERY",
        "first_name": "STEPHANIE",
        "middle_name": "OLIVIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Marie Senechal, D.C., CACCP
• Serendipity Private Duty & Respite Home Health Care, LLC
• James A Shaheen, D.D.S.
• Smiles of Grand River PLLC
• Karrie Sobiesiak, RNBSN, CCM
• Karen Baumeister Springer, PTA
• Jennifer Anne Steger, M.S., CCC-SLP
• Brandi Denise Sykes, NP
• Jamie George Taweel, D.O.
• Sarah E Tinsler, DO

• Physician Assistant in New Hudson, MI
• Providers in New Hudson, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.