Active NPI
Stacie Briggs, PA-C
- Physician Assistant
- Dewitt, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601010727
- Practice address
- 12805 Escanaba Dr
Dewitt, MI 48820-8628 - Phone
- (517) 913-3930
- Fax
- (517) 333-1769
- NPI assigned
- Oct 26, 2021
- Last updated
- Jul 11, 2024
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601010727 | MI | Primary |
Addresses
Primary practice location
12805 Escanaba Dr
Dewitt, MI 48820-8628
Mailing address
12805 Escanaba Dr
Dewitt, MI 48820-8628
Phone (517) 913-3930
Other practice location 1
200 N Caledonia Dr
Owosso, MI 48867-8844
Phone (989) 729-4848
Other names 1
- Stacie Miller
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
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12805 Escanaba Dr
Suite 1
Dewitt, MI 48820-8628
Phone (517) 913-3930
2270 Jolly Oak Rd
Suite 1
Okemos, MI 48864-6932
Phone (517) 975-9475
401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Medical Group | Current | Accepting new patients | |
| McLaren Medical Group | Physician Assistant | Current | Accepting new patients |
| Great Lakes Bay Health Centers | Current | Accepting new patients | |
| Great Lakes Bay Health Centers | Current | Accepting new patients | |
| McLaren Medical Group | Past | Accepting new patients |
Locations
39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880
12805 Escanaba Dr
Dewitt, MI 48820
Phone (517) 367-5500
12805 Escanaba Dr
Ste 1
Dewitt, MI 48820
Phone (517) 913-3930
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
200 N Caledonia Dr
Owosso, MI 48867
Phone (989) 720-4188
501 Lapeer Ave
Saginaw, MI 48607
Phone (989) 753-6000
501 Lapeer Ave
#R
Saginaw, MI 48607
Phone (989) 753-6000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Saginaw, MI
- NPI 1871684761
-
dba Great Lakes Bay Health Centers Integrated Care Midland
- Federally Qualified Health Center (FQHC)
- Midland, MI
- NPI 1609609536
-
- Diagnostic Radiology Physician
- Lapeer, MI
- NPI 1073650750
-
- Internal Medicine Physician
- Flint, MI
- NPI 1780652206
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Michigan Health-Sparrow Lansing
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
dba Thoracic Cardiovascular Institute
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1134104672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1609530641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12805 ESCANABA DR",
"city": "DEWITT",
"state": "MI",
"postal_code": "488208628",
"telephone_number": "517-913-3930",
"fax_number": "517-333-1769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12805 ESCANABA DR",
"city": "DEWITT",
"state": "MI",
"postal_code": "488208628",
"telephone_number": "517-913-3930",
"fax_number": "517-333-1769"
}
],
"practiceLocations": [
{
"address_1": "200 N Caledonia Dr",
"address_purpose": "LOCATION",
"city": "Owosso",
"state": "MI",
"postal_code": "488678844",
"country_code": "US",
"telephone_number": "989-729-4848",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRIGGS",
"first_name": "STACIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-26",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601010727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACIE",
"last_name": "MILLER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dewitt, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.