Individual provider Active NPI

Stephen Nash, FNP

  • Family Nurse Practitioner
  • Benzonia, MI
National Provider Identifier
1710496187
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704282514 Issued in MI
Practice address
6227 Frankfort Hwy
Benzonia, MI 49616-8632
Phone
(231) 882-9661
Fax
(231) 882-1049
NPI assigned
Sep 28, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704282514 MI Primary

Addresses

Primary practice location

6227 Frankfort Hwy
Benzonia, MI 49616-8632

Mailing address

6227 Frankfort Hwy
Benzonia, MI 49616-8632
Phone (231) 882-9661

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
I20251017000402 MI Practitioner - Nurse Practitioner 5799050076 Reassigns benefits to 4 organizations

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
Sic of Michigan, PCGroup PAC ID 6608373667, 3 clinicians

Practice addresses (Care Compare)

4290 Copper Ridge Dr
Suite 130
Traverse City, MI 49684-7205
Phone (989) 750-1017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704282514MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Midwest M PLLC CurrentSince Dec 28, 2025 Accepting new patients
Post Acute Medical PLLC CurrentSince Feb 2, 2026 Accepting new patients
Sic of Michigan, PC CurrentSince Aug 10, 2025 Accepting new patients
Altea Medical Michigan PLLC CurrentSince Feb 2, 2026 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 301
Gilbert, AZ 85297

6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700

854 N Center Ave
Unit 2
Gaylord, MI 49735
Phone (989) 732-0570

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

1500 Spring St
Petoskey, MI 49770
Phone (231) 344-6600

4290 Copper Ridge Dr
Ste 130
Traverse City, MI 49684
Phone (231) 600-7466

Interoperability endpoints

  • Direct secure messaging: ms_snash18@landmarkhealth-direct.org

Organizations & group practices 4

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": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710496187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6227 FRANKFORT HWY",
            "city": "BENZONIA",
            "state": "MI",
            "postal_code": "496168632",
            "telephone_number": "231-882-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6227 FRANKFORT HWY",
            "city": "BENZONIA",
            "state": "MI",
            "postal_code": "496168632",
            "telephone_number": "231-882-9661",
            "fax_number": "231-882-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704282514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benzonia, MI

Sources for this page

Verify at the official NPI Registry.