NPIMap

Individual provider Active NPI

Stephanie M Keilen, N.P.

  • Family Nurse Practitioner
  • Charlotte, MI
National Provider Identifier
1518399484
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704260187 Issued in MI
Practice address
111 Lansing St
Suite 230
Charlotte, MI 48813-2400
Phone
(517) 543-5110
Fax
(517) 543-9776
NPI assigned
Aug 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704260187 MI Primary

Addresses

Primary practice location

111 Lansing St
Suite 230
Charlotte, MI 48813-2400

Mailing address

111 Lansing St
Suite 230
Charlotte, MI 48813-2400
Phone (517) 543-5110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140109000628 MI Practitioner - Nurse Practitioner 4284862640 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sparrow Eaton HospitalGroup PAC ID 0042103509, shared by 4 NPIs, 45 clinicians

Practice addresses (Care Compare)

111 Lansing St
Charlotte, MI 48813-2400

321 E Harris St
Charlotte, MI 48813-1629

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Eaton Hospital CurrentSince Sep 18, 2013 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Sparrow Eaton Hospital CurrentSince Nov 23, 2025 Accepting new patients
Sparrow Eaton Hospital CurrentSince Sep 18, 2013 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Nov 1, 2015 Accepting new patients
Sparrow Eaton Hospital Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Sparrow Eaton Hospital Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840

111 Lansing St
Ste 230
Charlotte, MI 48813
Phone (517) 543-5110

111 Lansing St
Ste 110
Charlotte, MI 48813
Phone (517) 541-5855

111 Lansing St
Ste 220
Charlotte, MI 48813
Phone (517) 543-9563

111 Lansing St
Ste 200
Charlotte, MI 48813
Phone (517) 541-5882

2682 E Grand River Ave
East Lansing, MI 48823
Phone (517) 333-6352

1415 S Main St
Ste C
Eaton Rapids, MI 48827
Phone (517) 663-4809

716 N Clippert St
Lansing, MI 48912
Phone (517) 253-4000

1600 W Grand River Ave
Ste 4
Okemos, MI 48864
Phone (517) 381-6880

Interoperability endpoints

  • Direct secure messaging: skramer3942@sparrowdirecthie.org

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1518399484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LANSING ST",
            "address_2": "SUITE 230",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488132400",
            "telephone_number": "517-543-5110",
            "fax_number": "517-543-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LANSING ST",
            "address_2": "SUITE 230",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488132400",
            "telephone_number": "517-543-5110",
            "fax_number": "517-543-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEILEN",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704260187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, MI

Sources for this page

Verify at the official NPI Registry.