Individual provider Active NPI

Nicole Elizabeth Stehle, D.M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Midland, MI
National Provider Identifier
1659764652
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
2901600941 Issued in MI
Practice address
6112 Merlin CT
Midland, MI 48640-7358
Phone
(989) 839-9979
Fax
(989) 839-9553
NPI assigned
Mar 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 2901600941 MI Primary

Addresses

Primary practice location

6112 Merlin CT
Midland, MI 48640-7358

Mailing address

6112 Merlin CT
Midland, MI 48640-7358
Phone (989) 839-9979

Other practice location 1

4851 E Pickard St
Mount Pleasant, MI 48858-2029
Phone (989) 773-8065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 29, 2026 through Jan 29, 2028

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
University of California, San Francisco School of Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6112 Merlin CT
Midland, MI 48640-7358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1426377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1659764652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6112 MERLIN CT",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486407358",
            "telephone_number": "989-839-9979",
            "fax_number": "989-839-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6112 MERLIN CT",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486407358",
            "telephone_number": "989-839-9979",
            "fax_number": "989-839-9553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4851 E Pickard St",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "MI",
            "postal_code": "488582029",
            "country_code": "US",
            "telephone_number": "989-773-8065",
            "fax_number": "989-773-3566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEHLE",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-15",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MI",
            "license": "2901600941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.