NPIMap

Pamela Elizabeth Stave, PA-C

Individual provider Active NPI Physician Assistant · Lansing, MI

NPI 1669556239 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1669556239
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
5601003037 (MI)
Practice address
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone
(517) 364-2890
Fax
(517) 364-2462
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 36

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 36

Hospital & facility affiliations 3

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

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sparrow Carson Hospital (63 clinicians)
Edward W Sparrow Hospital Association (698 clinicians)

Practice addresses (Care Compare)

102 S 3Rd St
Carson City, MI 48811-5115

1210 W Saginaw St
Lansing, MI 48915-1927

1210 W Saginaw St FL
Lansing, MI 48915-1927

1215 E Michigan Ave
Lansing, MI 48912-1811

2909 E Grand River Ave
Lansing, MI 48912-4335

401 E Elm St
Carson City, MI 48811-9693
Phone (989) 584-6217

406 E Elm St
Carson City, MI 48811-9693

Sparrow Medical GRP Ear Nose Throat
Carson City, MI 48811-5115
Phone (989) 584-0932

Hospital & facility affiliations

  • Edward W Sparrow Hospital Hospital · Lansing, MI · CCN 230230
  • University of Michigan Health-Sparrow Carson Hospital · Carson City, MI · CCN 230208

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20041029000346 MI Practitioner - Physician Assistant 6901868223 Reassigns benefits to 5 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601003037MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Ionia Hospital Current
since Nov 12, 2023		 Accepting new patients
Edward W Sparrow Hospital Association Current
since May 15, 2013		 Accepting new patients
Sparrow Carson Hospital Current
since Jun 1, 2019		 Accepting new patients
Sparrow Carson Hospital Current
since Jun 1, 2019		 Accepting new patients
Edward W. Sparrow Hospital Association Current
since May 15, 2013		 Accepting new patients
Sparrow Carson Hospital Current
since Nov 12, 2023		 Accepting new patients
Edward W Sparrow Hospital Association Current
since Nov 12, 2023		 Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients
Sparrow Ionia Hospital Past Accepting new patients
Sparrow Carson Hospital Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

2900 Hannah Blvd
Ste 114
East Lansing, MI 48823
Phone (517) 364-8080

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355

550 E Washington St
Fl 1
Ionia, MI 48846

1140 E Michigan Ave
Ste 200
Lansing, MI 48912
Phone (517) 364-9400

2909 E Grand River Ave
Ste 201
Lansing, MI 48912
Phone (517) 253-3050

2909 E Grand River Ave
Ste 102
Lansing, MI 48912
Phone (517) 364-8670

1210 W Saginaw St
Lansing, MI 48915
Phone (517) 364-7180

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1100 W Saginaw St
Ste 630
Lansing, MI 48915
Phone (517) 364-6363

1140 E Michigan Ave
Ste 100
Lansing, MI 48912
Phone (517) 364-9402

Interoperability endpoints

  • Direct secure messaging: pstave15728@sparrowdirecthie.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601003037 MI Yes

Addresses

Primary practice location

1215 E Michigan Ave
Lansing, MI 48912-1811

Mailing address

PO Box 13008
Lansing, MI 48901-3008
Phone (517) 364-6253

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669556239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13008",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489013008",
            "telephone_number": "517-364-6253",
            "fax_number": "517-364-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121811",
            "telephone_number": "517-364-2890",
            "fax_number": "517-364-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVE",
        "first_name": "PAMELA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

All providers in Lansing, MI · Physician Assistant in Michigan

Sources for this page

Verify at the official NPI Registry.