Active NPI
Kerri Ann Stephens, FNP
- Family Nurse Practitioner
- West Branch, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704240636
- Practice address
- 2331 Progress St
Suite D
West Branch, MI 48661-9384 - Phone
- (989) 345-1184
- Fax
- (989) 345-6944
- NPI assigned
- Jun 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704240636 | MI | Primary |
Addresses
Primary practice location
2331 Progress St
Suite D
West Branch, MI 48661-9384
Mailing address
2331 Progress St
Suite D
West Branch, MI 48661-9384
Phone (989) 345-1184
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704240636 | Other | MI | RN & FNP LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2110 S M
West Branch, MI 48661-8821
445 S Valley St
West Branch, MI 48661-9206
Phone (989) 345-3600
611 Court St
West Branch, MI 48661-8820
Phone (989) 345-7000
646 Court St
West Branch, MI 48661-8781
Phone (989) 343-1400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704240636 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Primary Care | Past | Accepting new patients | |
| McLaren Central Michigan | Past | Accepting new patients |
Locations
1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700
2110 S M 76
Ste 6
West Branch, MI 48661
Phone (989) 345-1184
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Mt Pleasant, MI
- NPI 1245266063
-
- Family Medicine Physician
- Mt Pleasant, MI
- NPI 1710235775
-
- Rural Health Clinic/Center
- Gladwin, MI
- NPI 1841812989
-
- General Acute Care Hospital
- Mt Pleasant, MI
- NPI 1538195409
-
- Internal Medicine Physician
- West Branch, MI
- NPI 1063812766
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bay City, MI
- NPI 1528031226
-
- Rural Acute Care Hospital
- Mt Pleasant, MI
- NPI 1619941317
-
dba MidMichigan Medical Center- West Branch
- Family Medicine Physician
- West Branch, MI
- NPI 1518418292
Hospital
-
- General Acute Care Hospital
- West Branch, MI
- NPI 1538566765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338854400000",
"number": "1528329612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2331 PROGRESS ST",
"address_2": "SUITE D",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "486619384",
"telephone_number": "989-345-1184",
"fax_number": "989-345-6944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2331 PROGRESS ST",
"address_2": "SUITE D",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "486619384",
"telephone_number": "989-345-1184",
"fax_number": "989-345-6944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "KERRI",
"middle_name": "ANN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-05",
"last_updated": "2012-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704240636",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN & FNP LICENSE",
"identifier": "4704240636",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Branch, MI
- Beth Anne Stark, MSW, LMSW
- Allyson Stearns
- Julie Anne Steinka, NP-C
- Brooke Steinley
- Stephen W Kimball DC PC
- Sterling Area Health Center (West Branch - Rose City Schools SBSS)
- Sterling Area Health Center (Surline School Wellness Program)
- Sterling Area Health Center
- Rosalie Darlene Stewart, RPH
- Alma Lisa Stodolak, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.