Individual provider Active NPI

Steven Pavloski

  • Family Nurse Practitioner
  • Macomb, MI
National Provider Identifier
1447611553
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704276496 Issued in MI
Practice address
21777 21 Mile Rd
Macomb, MI 48044-2962
Phone
(866) 389-2727
NPI assigned
Mar 16, 2016
Last updated
May 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704276496 MI Primary
Family Medicine Physician 207Q00000X 1230265 TX

Addresses

Primary practice location

21777 21 Mile Rd
Macomb, MI 48044-2962

Mailing address

21777 21 Mile Rd
Macomb, MI 48044-2962

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
I20160408000126 MI Practitioner - Nurse Practitioner 0244538213 Reassigns benefits to 2 organizations

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
Minuteclinic Diagnostic of Michigan PCGroup PAC ID 9133123755, 40 clinicians

Practice addresses (Care Compare)

21777 21 Mile Rd
Macomb, MI 48044-2962
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
81.3 of 100Reported as group
Quality
76.96
Improvement activities
40
Cost
79.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1230265TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care-Michigan PLLC Family CurrentSince Sep 12, 2025 Accepting new patients
Minuteclinic Diagnostic of Michigan PC Family CurrentSince Apr 11, 2016 Accepting new patients

Locations

1402 W 14 Mile Rd
Clawson, MI 48017
Phone (248) 435-7314

21777 21 Mile Rd
Macomb, MI 48044
Phone (586) 949-2078

44300 5 Mile Rd
Northville, MI 48168
Phone (734) 416-1883

39350 9 Mile Rd
Northville Township, MI 48167
Phone (248) 735-6081

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1447611553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21777 21 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21777 21 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442962",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLOSKI",
        "first_name": "STEVEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-16",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704276496",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1230265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

Verify at the official NPI Registry.