Individual provider Active NPI

Stephanie Schalk, PA

  • Physician Assistant
  • Alpena, MI
National Provider Identifier
1659884971
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1501 W Chisholm St
Alpena, MI 49707-1401
Phone
(989) 356-7000
NPI assigned
Nov 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1501 W Chisholm St
Alpena, MI 49707-1401

Mailing address

3303 S Meridian Ave
Oklahoma City, OK 73119-1026

Other names 1

  • Stephanie Lumsden Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171117000688 MI Practitioner - Physician Assistant 0042576472 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center AlpenaGroup PAC ID 8527969922, 97 clinicians

Practice addresses (Care Compare)

1501 W Chisholm St
Alpena, MI 49707-1401

393 Long Rapids Rd
Alpena, MI 49707-1317
Phone (989) 354-4406

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Jun 17, 2018 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Jun 17, 2018 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Physician Assistant CurrentSince Oct 1, 2023 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Oct 1, 2023 Accepting new patients
St Clair Specialty Physicians PC CurrentSince Jul 28, 2026 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

2603 Electric Ave
Ste D
Port Huron, MI 48060
Phone (810) 987-5252

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1659884971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 S MERIDIAN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731191026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W CHISHOLM ST",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071401",
            "telephone_number": "989-356-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHALK",
        "first_name": "STEPHANIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "LUMSDEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alpena, MI

Sources for this page

Verify at the official NPI Registry.