Individual provider Active NPI

Stacy Ann Frye, M.D.

  • Pediatrics Physician
  • Grand Blanc, MI
National Provider Identifier
1689871576
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301090364 Issued in MI
Practice address
7237 Fenton Rd
Grand Blanc, MI 48439-8961
Phone
(810) 223-0500
Fax
(810) 223-0530
NPI assigned
Jul 2, 2007
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301090364 MI Primary
Pediatric Sports Medicine Physician 2080S0010X 4301090364 MI
Pediatric Orthopaedic Surgery Physician 207XP3100X 4301090364 MI

Addresses

Primary practice location

7237 Fenton Rd
Grand Blanc, MI 48439-8961

Mailing address

7237 Fenton Rd
Grand Blanc, MI 48439-8961
Phone (810) 223-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301090364MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rise & Shine Orthopedics PLLC Pediatric Orthopaedic Surgery CurrentSince Oct 21, 2025 Accepting new patients
Mid-Michigan Specialty Clinics PLLC Sports Medicine Past Accepting new patients

Locations

7237 Fenton Rd
Grand Blanc, MI 48439
Phone (810) 223-0500

Interoperability endpoints

  • Direct secure messaging: sfrye55739@direct.hurleymc.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1689871576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7237 FENTON RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398961",
            "telephone_number": "810-223-0500",
            "fax_number": "810-223-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7237 FENTON RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398961",
            "telephone_number": "810-223-0500",
            "fax_number": "810-223-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYE",
        "first_name": "STACY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301090364",
            "primary": true
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "MI",
            "license": "4301090364",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "MI",
            "license": "4301090364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.