Stephanie Lynne Fitzgerald, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

5101012161 Issued in MI

Practice address

1293 E Parkdale Ave
Suite 1200a
Manistee, MI 49660-8904

Phone

(231) 398-1550

Fax

(231) 398-1691

NPI assigned

Nov 3, 2006

Last updated

Jun 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

R Franklin University of Med & Sci/Chicago Medical School, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Munson Healthcare Manistee HospitalGroup PAC ID 3072414333, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Munson Healthcare Manistee Hospital Hospital, Manistee, MI, CCN 230303

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Munson Healthcare Manistee Hospital

  • General Acute Care Hospital
  • Manistee, MI
  • NPI 1407949191
  Medicare reassignment Care Compare group NPD
• Munson Healthcare Cadillac

  dba McBain Primary Care

  • Rural Health Clinic/Center
  • McBain, MI
  • NPI 1336539063
  Medicare reassignment NPD
• Munson Healthcare Charlevoix Hospital

  dba Physician Clinic of Charlevoix

  • Pediatrics Physician
  • Charlevoix, MI
  • NPI 1326124058
  Medicare reassignment NPD
• Munson Healthcare Charlevoix Hospital

  dba Charlevoix Physician Specialists, Charlevoix Women's Healthcare

  • Otolaryngology Physician
  • Charlevoix, MI
  • NPI 1629154307

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Munson Healthcare Grayling

  dba Roscommon Community Health Center

  • Rural Health Clinic/Center
  • Roscommon, MI
  • NPI 1710383351
  Medicare reassignment NPD
• Munson Healthcare Otsego Memorial Hospital

  dba Munson Healthcare OMH Medical Group-Gaylord RHC

  • Rural Health Clinic/Center
  • Gaylord, MI
  • NPI 1164628426
  Medicare reassignment NPD
• Munson Medical Group

  dba Traverse Heart and Vascular

  • Cardiovascular Disease Physician
  • Traverse City, MI
  • NPI 1821398322
  Medicare reassignment NPD
• Renaissance Women's Health, PLC

  • Obstetrics & Gynecology Physician
  • Manistee, MI
  • NPI 1285819995
  Authorized official Same address or phone
• Munson Healthcare Cadillac

  • Psychiatry Physician
  • Traverse City, MI
  • NPI 1720955081
  NPD
• Munson Healthcare Cadillac

  dba Cadillac Primary Care & OBGYN

  • Rural Health Clinic/Center
  • Cadillac, MI
  • NPI 1912303728
  NPD
• Munson Healthcare Charlevoix Hospital

  dba Munson Healthcare Charlevoix Physician Specialists

  • General Practice Physician
  • Charlevoix, MI
  • NPI 1912384843
  NPD
• Munson Healthcare Charlevoix Hospital

  dba Munson Healthcare Charlevoix Walk-In Clinic

  • Family Medicine Physician
  • Charlevoix, MI
  • NPI 1972367043
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Munson Healthcare Manistee Hospital

  • General Acute Care Hospital
  • Manistee, MI
  • NPI 1407949191
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1609955400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1293 E PARKDALE AVE",
            "address_2": "SUITE 1200A",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496608904",
            "telephone_number": "231-398-1550",
            "fax_number": "231-398-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1293 E PARKDALE AVE",
            "address_2": "SUITE 1200A",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496608904",
            "telephone_number": "231-398-1550",
            "fax_number": "231-398-1691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "917 Main St",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "MI",
            "postal_code": "496359086",
            "country_code": "US",
            "telephone_number": "231-352-2201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497381312",
            "country_code": "US",
            "telephone_number": "989-348-5461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7985 S Mackinaw Trl",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "496018111",
            "country_code": "US",
            "telephone_number": "231-876-6011",
            "fax_number": "231-779-2529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14700 Lake Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Charlevoix",
            "state": "MI",
            "postal_code": "497201999",
            "country_code": "US",
            "telephone_number": "231-547-3840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Michigan Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497387074",
            "country_code": "US",
            "telephone_number": "989-348-0550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "829 N Center Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351598",
            "country_code": "US",
            "telephone_number": "989-731-2105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "STEPHANIE",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101012161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS",
            "identifier": "700E110080",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "1655100055",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1655100055",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4074432",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie.fitzgerald@wsmcps.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1293 E Parkdale Ave",
            "address_2": "SUITE 1200A",
            "city": "Manistee",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496608904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Family Vision Clinic, PC
• Natalie K Fauble, RN
• Melissa Danielle Feyers
• Kenneth G Fisher, CRNA
• Jo'Dee Fisk, LLBSW
• Nancy Elaine Flynn Tinsley, MA-CCC-SLP
• Elizabeth Foster, NP
• Keri Ann Foster, NP
• Friends Who Care
• Friends Who Care-Manistee, LLC

• Obstetrics & Gynecology Physician in Manistee, MI
• Providers in Manistee, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.

Verify at the official NPI Registry.