Individual provider Active NPI

Stacy L McCarron, NP

  • Family Nurse Practitioner
  • Grand Rapids, MI
National Provider Identifier
1649213133
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704211661 Issued in MI
Practice address
145 Michigan St NE Ste 2200
Grand Rapids, MI 49503-2562
Phone
(616) 486-5933
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704211661 MI Primary
Nurse Practitioner 363L00000X 4704211661 MI

Addresses

Primary practice location

145 Michigan St NE Ste 2200
Grand Rapids, MI 49503-2562

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050124000769 MI Practitioner - Nurse Practitioner 6002866498 Reassigns benefits to 6 organizations
I20250319003415 OH Practitioner - Nurse Practitioner 6002866498 Reassigns benefits to 1 organization
I20260115003939 IL Practitioner - Nurse Practitioner 6002866498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Health Primary Care PartnersGroup PAC ID 4587568647, 2,283 clinicians
Spectrum Health HospitalsGroup PAC ID 8921904764, 161 clinicians

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

100 Michigan St NE RM
280 Corewell Health Medical Group West
Grand Rapids, MI 49503-2560
Phone (616) 267-0115

100 Michigan St Northeast
Corewell Health Grand Rapids Hospit
Grand Rapids, MI 49503-2560
Phone (616) 391-1774

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

Hospital & facility affiliations

  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704211661MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reed City Hospital Corporation CurrentSince Apr 26, 2023 Accepting new patients
Spectrum Health Hospitals CurrentSince Apr 3, 2023 Accepting new patients
Pennock Hospital Nurse Practitioner CurrentSince Oct 1, 2025 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Mar 12, 2025 Accepting new patients
Pennock Hospital CurrentSince Oct 1, 2025 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Oct 1, 2025 Accepting new patients
Reed City Hospital Corporation CurrentSince Apr 26, 2023 Accepting new patients
Newaygo County General Hospital Association CurrentSince Oct 1, 2025 Accepting new patients
Spectrum Health Hospitals CurrentSince Apr 3, 2023 Accepting new patients
Newaygo County General Hospital Association CurrentSince Oct 1, 2025 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Oct 1, 2025 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jan 9, 2026 Accepting new patients
Michigan Medical Patient Care Past Accepting new patients
Cancer & Hematology Centers of Western Mi, P.C. Past Accepting new patients
Michigan Medical Patient Care Past Accepting new patients

Locations

212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212

145 Michigan St NE
Ste 5200
Grand Rapids, MI 49503
Phone (616) 486-5933

4085 Burton St SE
Ste 200
Grand Rapids, MI 49546

145 Michigan St NE
Ste 2200
Grand Rapids, MI 49503
Phone (616) 486-5750

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

250 Cherry St SE
Ste 2200
Grand Rapids, MI 49503
Phone (616) 685-5600

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

145 Michigan St NE
Ste 3100
Grand Rapids, MI 49503
Phone (616) 954-9800

1005 W Green St
Ste 300
Hastings, MI 49058
Phone (269) 948-8411

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

300 N Patterson Rd
Reed City, MI 49677
Phone (231) 832-3271

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

4055 Valley View Ln
Ste 600
Dallas, TX 75244

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Interoperability endpoints

  • Direct secure messaging: smccarron103530@direct.covenanthealthcare.com
  • Direct secure messaging: smccarron8468@epic00.corewelldirect.org

Organizations & group practices 15

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.

View all 15

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1649213133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MICHIGAN ST NE STE 2200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032562",
            "telephone_number": "616-486-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARRON",
        "first_name": "STACY",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704211661",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704211661",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.