Individual provider Active NPI

Stacey Christine Voorheis, PA

  • Physician Assistant
  • Lansing, MI
National Provider Identifier
1477709707
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601005336 Issued in MI
Practice address
4202 Collins Rd
Suite 115
Lansing, MI 48910-5894
Phone
(517) 908-3600
Fax
(517) 908-3601
NPI assigned
Aug 18, 2008
Last updated
Jan 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601005336 MI Primary

Addresses

Primary practice location

4202 Collins Rd
Suite 115
Lansing, MI 48910-5894

Mailing address

3394 E Jolly Rd
Suite C
Lansing, MI 48910-5894
Phone (517) 272-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601005336MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lansing Family Physicians PC Past Accepting new patients
Beals Institute PC PastSince Mar 30, 2006 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: stacey.voorheis.p1@direct.glcor.nextgenshare.com

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": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1477709707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3394 E JOLLY RD",
            "address_2": "SUITE C",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489105894",
            "telephone_number": "517-272-9700",
            "fax_number": "517-272-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 COLLINS RD",
            "address_2": "SUITE 115",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489105894",
            "telephone_number": "517-908-3600",
            "fax_number": "517-908-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOORHEIS",
        "first_name": "STACEY",
        "middle_name": "CHRISTINE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.