Active NPI
Stacy Michael Lucio
- Nurse Practitioner
- Monroe, MI
National Provider Identifier
1710488440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704292925
- Practice address
- 901 N Macomb St Ste 109
Monroe, MI 48162 - Phone
- (734) 344-8110
- NPI assigned
- Feb 27, 2018
- Last updated
- May 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704292925 | MI | Primary |
Addresses
Primary practice location
901 N Macomb St Ste 109
Monroe, MI 48162
Mailing address
901 N Macomb St Ste 109
Monroe, MI 48162-3088
Other names 1
- Stacy Michael Towler
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
905 N Macomb St
Suite 3
Monroe, MI 48162-3076
Phone (734) 241-0560
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Specialists of Monroe P C | Current | Accepting new patients |
Locations
905 N Macomb St
Ste 3
Monroe, MI 48162
Phone (734) 241-0560
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Monroe, MI
- NPI 1255355871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1710488440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 N MACOMB ST STE 109",
"city": "MONROE",
"state": "MI",
"postal_code": "481623088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N MACOMB ST STE 109",
"city": "MONROE",
"state": "MI",
"postal_code": "48162",
"telephone_number": "734-344-8110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCIO",
"first_name": "STACY",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-27",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704292925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACY",
"last_name": "TOWLER",
"middle_name": "MICHAEL",
"credential": "NURSE PRACTITIONER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.