Stephanie Waisanen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301503564 Issued in MI

Practice address

932 Spring St Ste 101
Petoskey, MI 49770-2286

Phone

(231) 489-8298

Fax

(231) 489-8299

NPI assigned

Mar 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 9, 2025 through Sep 9, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1679078265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 SPRING ST STE 101",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702286",
            "telephone_number": "231-489-8298",
            "fax_number": "231-489-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 SPRING ST STE 101",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702286",
            "telephone_number": "231-489-8298",
            "fax_number": "231-489-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAISANEN",
        "first_name": "STEPHANIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME150513",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301503564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112471000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marit Elizabeth Vogel, M.D.
• Eric Voisin, PHARMD
• Sarah Wadowski, PA
• Laura Wagner, LLMSW
• Shelby Lynn Waibel, FNP BC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2417)
• Wal-Mart Stores East, LP (Vision Center 30-2417)
• Walgreen Co (Walgreens #05481)
• Walgreen Co (Walgreens #12534)
• Breeana Walker

• Family Medicine Physician in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.