Individual provider Active NPI

Stacey J Carr, DNP, NP-C

  • Adult Health Nurse Practitioner
  • Owosso, MI
National Provider Identifier
1437591492
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704253664 Issued in MI
Practice address
802 W King St Ste E
Owosso, MI 48867-2100
Phone
(989) 729-4131
Fax
(989) 729-4139
NPI assigned
Jul 19, 2013
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704253664 MI Primary

Addresses

Primary practice location

802 W King St Ste E
Owosso, MI 48867-2100

Mailing address

802 W King St Ste E
Owosso, MI 48867-2100
Phone (989) 729-4131

Other practice location 1

1501 Waterford Pkwy Ste B
Saint Johns, MI 48879-9631
Phone (989) 534-2353

Other identifiers 1

IdentifierTypeStateIssuer
1437591492MedicaidMI

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
I20131011001557 MI Practitioner - Nurse Practitioner 9537393228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

802 W King St a
Memorial Healthcare Ophthalmology
Owosso, MI 48867-2100
Phone (989) 288-3300

802 W King St C
MH Diabetes and Endocrinology
Owosso, MI 48867-2100
Phone (989) 729-4131

802 W King St E
Memorial Healthcare
Owosso, MI 48867-2100
Phone (989) 723-5211

802 W King St J
MH Pulmonology and Sleep Medicine
Owosso, MI 48867-2100
Phone (989) 729-4071

802 W King St M
MH Pediatric Medicine 3Rd FLR
Owosso, MI 48867-2100
Phone (989) 729-4100

802 W King St O
Memorial Healthcare
Owosso, MI 48867-2100
Phone (989) 723-5211

826 W King St
Owosso, MI 48867-2120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.58 of 100Reported as group
Quality
58.15
Promoting interoperability
100
Improvement activities
40
Cost
74.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704253664MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Nurse Practitioner CurrentSince Dec 1, 2015 Accepting new patients
Memorial Hospital Nurse Practitioner Current Accepting new patients
Memorial Hospital CurrentSince Dec 1, 2015 Accepting new patients
Memorial Hospital Past Accepting new patients
CT Center of Flint, PLLC Past Accepting new patients
Memorial Hospital Past Accepting new patients

Locations

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

1975 W M 21
Ste 103
Owosso, MI 48867

802 W King St
Ste C
Owosso, MI 48867
Phone (989) 729-4131

802 W King St
Ste E
Owosso, MI 48867
Phone (989) 723-1390

818 W King St
Ste 101
Owosso, MI 48867
Phone (989) 723-1390

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

1501 Waterford Pkwy
Ste B
Saint Johns, MI 48879
Phone (989) 534-2353

Interoperability endpoints

  • Direct secure messaging: s.carr@memorialhealthcare.midirect.net
  • Direct secure messaging: staceycarr@memh.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1437591492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 W KING ST STE E",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672100",
            "telephone_number": "989-729-4131",
            "fax_number": "989-729-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W KING ST STE E",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672100",
            "telephone_number": "989-729-4131",
            "fax_number": "989-729-4139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Waterford Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "MI",
            "postal_code": "488799631",
            "country_code": "US",
            "telephone_number": "989-534-2353",
            "fax_number": "989-534-2352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "STACEY",
        "middle_name": "J",
        "credential": "DNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704253664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437591492",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

Verify at the official NPI Registry.