Individual provider Active NPI

Stella Rhoda Macheso, DNP, ACCNS-AG

  • Nurse Practitioner
  • Bay City, MI
National Provider Identifier
1710458872
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704251706NSA18771 Issued in MI
Practice address
1900 Columbus Ave
Bay City, MI 48708-6831
Phone
(989) 280-6746
NPI assigned
Dec 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704251706NSA18771 MI Primary

Addresses

Primary practice location

1900 Columbus Ave
Bay City, MI 48708-6831

Mailing address

4831 Wheat Ridge CT
Auburn, MI 48611-8535
Phone (989) 280-6746

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
I20190319002896 MI Practitioner - Certified Clinical Nurse Specialist (CNS) 1557601028 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704251706NSA18771MIMDAcute Care Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Bay Region Nurse Practitioner CurrentSince Apr 1, 2019 Accepting new patients
McLaren Bay Region CurrentSince Apr 1, 2019 Accepting new patients
McLaren Bay Region Nurse Practitioner Past Accepting new patients

Locations

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1710458872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4831 WHEAT RIDGE CT",
            "city": "AUBURN",
            "state": "MI",
            "postal_code": "486118535",
            "telephone_number": "989-280-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 COLUMBUS AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086831",
            "telephone_number": "989-280-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHESO",
        "first_name": "STELLA",
        "middle_name": "RHODA",
        "credential": "DNP, ACCNS-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704251706NSA18771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.