Individual provider Active NPI

Stephanie Elizabeth Castaing, NP-C

  • Nurse Practitioner
  • Dearborn, MI
National Provider Identifier
1639733298
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704307318 Issued in MI
Practice address
1537 Monroe St
Dearborn, MI 48124-2842
Phone
(313) 359-2100
NPI assigned
Apr 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704307318 MI Primary

Addresses

Primary practice location

1537 Monroe St
Dearborn, MI 48124-2842

Mailing address

9017 Sundance TRL
Dexter, MI 48130-8652
Phone (734) 717-9953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220114000110 NC Practitioner - Nurse Practitioner 9335475342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Michigan Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiatry Consultants of NC PLLCGroup PAC ID 2567871643, 77 clinicians

Practice addresses (Care Compare)

303 E Carver St
Durham, NC 27704-2135
Phone (919) 471-3355

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physiatry Consultants of NC PLLC CurrentSince Dec 1, 2021 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

1 Pond St
Arden, NC 28704
Phone 82877452220027

303 E Carver St
Durham, NC 27704
Phone (725) 710-9338

1601 Purdue Dr
Fayetteville, NC 28304
Phone (910) 486-5000

2420 Lake Wheeler Rd
Raleigh, NC 27603
Phone (919) 755-0226

2702 Farrell Rd
Sanford, NC 27330
Phone (919) 608-9123

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1639733298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9017 SUNDANCE TRL",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481308652",
            "telephone_number": "734-717-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242842",
            "telephone_number": "313-359-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTAING",
        "first_name": "STEPHANIE",
        "middle_name": "ELIZABETH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704307318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.