Active NPI
Stephanie Leanne Odejimi, PA-C
- Physician Assistant
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601012369
- Practice address
- 601 John St Ste M-318
Kalamazoo, MI 49007-5383 - Phone
- (269) 349-9745
- NPI assigned
- May 28, 2019
- Last updated
- Oct 22, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601012369 | MI | Primary |
| Medical Physician Assistant | 363AM0700X |
Addresses
Primary practice location
601 John St Ste M-318
Kalamazoo, MI 49007-5383
Mailing address
601 John St Ste M-318
Kalamazoo, MI 49007-5383
Phone (269) 349-9745
Other practice location 1
600 E 233rd St
Bronx, NY 10466-2604
Phone (718) 920-9000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.bronsonhg.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11537 Fulton St E
Lowell, MI 49331-9609
Phone (616) 897-8413
1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-7000
22600 W Main St
Armada, MI 48005-3237
Phone (734) 508-4569
580 W College Ave
Up Health System
Marquette, MI 49855-2736
Phone (906) 228-9440
625 36TH St SW
Wyoming, MI 49509-4004
Phone (616) 531-0200
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.11 of 100
- Quality
- 69.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Inpatient Physicians - Michigan, PLLC | Current | Accepting new patients | |
| NV Pacs 2 LLC | Past | Accepting new patients |
Locations
580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
Organizations & group practices 8
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.
-
- Hospitalist Physician
- Brighton, MI
- NPI 1669901567
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1093967861
-
- Hospitalist Physician
- Northville, MI
- NPI 1205418357
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1023403011
-
- Hospitalist Physician
- Mansfield, TX
- NPI 1518237429
-
dba Sound Physicians
- Hospitalist Physician
- Escanaba, MI
- NPI 1366768178
-
- Hospitalist Physician
- Las Vegas, NV
- NPI 1427534809
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792627200000",
"number": "1730746579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 JOHN ST STE M-318",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490075383",
"telephone_number": "269-349-9745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 JOHN ST STE M-318",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490075383",
"telephone_number": "269-349-9745"
}
],
"practiceLocations": [
{
"address_1": "600 E 233rd St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104662604",
"country_code": "US",
"telephone_number": "718-920-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ODEJIMI",
"first_name": "STEPHANIE",
"middle_name": "LEANNE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-28",
"last_updated": "2026-10-22",
"certification_date": "2026-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601012369",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.bronsonhg.org",
"affiliation": "N",
"endpointDescription": "Bronson Healthcare Group Direct address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Continuity of Care Document",
"address_1": "601 John St",
"city": "Kalamazoo",
"state": "MI",
"country_code": "US",
"postal_code": "490075232",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; 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.