Stacey Lynn Crane, NP-C
Individual provider Active NPI Family Nurse Practitioner · Houghton Lake, MI
NPI 1366979338 · NPPES record last updated May 25, 2023
Key facts
- NPI
- 1366979338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704254946 (MI)
- Practice address
- 9249 W Lake City Rd
Houghton Lake, MI 48629-9602 - Phone
- (989) 422-2181
- NPI assigned
- May 22, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Michigan Medical School, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northsport Physical Therapy and Rehabilitation P C
Midmichigan Health Services
Practice addresses (Care Compare)
1622 Dickerson Rd
Gaylord, MI 49735-9206
9249 W Lake City Rd
Houghton Lake, MI 48629-9602
Phone (989) 422-5122
Hospital & facility affiliations
- Mymichigan Medical Center Clare
- Mymichigan Medical Center West Branch
- Munson Healthcare Grayling Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170804000991 | MI | Practitioner - Nurse Practitioner | 6608147996 | Reassigns benefits to 9 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704254946 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epmg of Michigan, P.C. | Nurse Practitioner | Current |
Accepting new patients |
| Munson Healthcare Grayling | Current |
Accepting new patients | |
| Munson Healthcare Grayling | Current |
Accepting new patients | |
| Munson Healthcare Grayling | Past | Accepting new patients | |
| Midmichigan Health Services | Past | Accepting new patients | |
| Munson Healthcare Grayling | Past | Accepting new patients |
Locations
3781 Momentum Pl
Chicago, IL 60689
775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764
515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201
1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
1321 S Mount Tom Rd
Mio, MI 48647
Phone (989) 275-1200
234 Lake St
Roscommon, MI 48653
Phone (517) 275-1200
Interoperability endpoints
- scranenpprovider82701@mymichiganhealth.midirect.net
- swysocki@direct.mhc.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704254946 | MI | Yes |
Addresses
Primary practice location
9249 W Lake City Rd
Houghton Lake, MI 48629-9602
Mailing address
9249 W Lake City Rd
Houghton Lake, MI 48629-9602
Phone (989) 422-2181
Other practice location 1
3009 N Saginaw Rd
Midland, MI 48640-4555
Phone (989) 633-1350
Other names
- Stacey Wysocki
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | swysocki@direct.mhc.net |
Other providers in Houghton Lake, MI
- Karen Cass
- Vanessa Castro
- Kelly L Christian
- Michael Gerald Coon
- Michael J.G. Coon
- Elise Decker
- Kevin T. Denlinger
- Jeanne Marie Dietrich
- Allison Docherty
- Doctors K&R HL PLLC
All providers in Houghton Lake, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.