Individual provider Active NPI

Stephanie Marie Miller, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Battle Creek, MI
National Provider Identifier
1558085688
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704313625 Issued in MI
Practice address
3432 Capital Ave SW
Battle Creek, MI 49015-9354
Phone
(877) 279-5960
Fax
(877) 384-3106
NPI assigned
Oct 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 4704313625 MI
Gerontology Nurse Practitioner 363LG0600X 4704313625 MI Primary

Addresses

Primary practice location

3432 Capital Ave SW
Battle Creek, MI 49015-9354

Mailing address

729 Cemetery Rd
Bronson, MI 49028-9711
Phone (309) 678-9700

Other names 1

  • Ms. Stephanie Marie Myers Former name

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
I20250314000673 MI Practitioner - Nurse Practitioner 8921520305 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH MSSP Services Mi PLLCGroup PAC ID 2961862800, 44 clinicians

Practice addresses (Care Compare)

7533 Grand River Rd
Brighton, MI 48114-7382
Phone (337) 991-9276

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704313625MIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Michigan PLLC CurrentSince Feb 25, 2025 Accepting new patients
CH MSSP Services Mi PLLC CurrentSince Feb 25, 2025 Accepting new patients

Locations

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

3432 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 979-9600

400 Renaissance Ctr
Detroit, MI 48243
Phone (248) 599-1582

2102 Orleans St
Detroit, MI 48207
Phone (313) 462-4362

400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582

2000 Leonard St NE
Grand Rapids, MI 49505
Phone (616) 458-1133

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1558085688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 CEMETERY RD",
            "city": "BRONSON",
            "state": "MI",
            "postal_code": "490289711",
            "telephone_number": "309-678-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3432 CAPITAL AVE SW",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490159354",
            "telephone_number": "877-279-5960",
            "fax_number": "877-384-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704313625",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704313625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MYERS",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.