Active NPI
Stephen Nash, FNP
- Family Nurse Practitioner
- Benzonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704282514
- 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
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 |
|---|---|---|---|---|
| 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
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)
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704282514 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complexcare Medical Group Midwest M PLLC | Current | Accepting new patients | |
| Post Acute Medical PLLC | Current | Accepting new patients | |
| Sic of Michigan, PC | Current | Accepting new patients | |
| Altea Medical Michigan PLLC | Current | 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
- 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.
-
dba Centers at SIC
- Health Service Clinic/Center
- Traverse City, MI
- NPI 1932994217
-
- Geriatric Medicine (Internal Medicine) Physician
- Plymouth, MI
- NPI 1053142000
-
- Internal Medicine Physician
- Novi, MI
- NPI 1528851607
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
MI
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.