Individual provider Active NPI

Stephanie Kayser

  • Family Nurse Practitioner
  • Saint Clair Shores, MI
National Provider Identifier
1760031645
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704304105 Issued in MI
Practice address
22619 Millenbach St
Saint Clair Shores, MI 48081-2598
Phone
(248) 508-9555
NPI assigned
Sep 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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 4704304105 MI Primary

Addresses

Primary practice location

22619 Millenbach St
Saint Clair Shores, MI 48081-2598

Mailing address

22619 Millenbach St
Saint Clair Shores, MI 48081-2598
Phone (248) 508-9555

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
I20210429001636 MI Practitioner - Nurse Practitioner 5799194932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

18285 E 10 Mile Rd
Suite 150
Roseville, MI 48066-5808
Phone (877) 448-3627

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants, LLC CurrentSince Apr 27, 2021 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Apr 27, 2021 Accepting new patients
Metro Infectious Disease Consultants, LLC Past Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

7445 Allen Rd
Ste 250
Allen Park, MI 48101
Phone (313) 386-5500

3055 Plymouth Rd
Ste 103
Ann Arbor, MI 48105

6770 Dixie Hwy
Ste 204
Clarkston, MI 48346

7210 N Main St
Ste 103
Clarkston, MI 48346
Phone (248) 620-3376

5023 W Main St
Kalamazoo, MI 49009
Phone (877) 442-3627

2549 Jolly Rd
Ste 360
Okemos, MI 48864
Phone (517) 347-2222

15474 N Haggerty Rd
Plymouth, MI 48170
Phone (734) 335-6103

1231 Pine Grove Ave
Ste 1B
Port Huron, MI 48060
Phone (810) 984-8650

18285 E 10 Mile Rd
Ste 150
Roseville, MI 48066
Phone (586) 526-3550

4805 Towne Centre Rd
Ste 103
Saginaw, MI 48604

27209 Lahser Rd
Ste 120
Southfield, MI 48034
Phone (248) 358-4892

43134 Dequindre Rd
Sterling Hts, MI 48314
Phone (586) 446-8688

1851 44th St SW
Ste M
Wyoming, MI 49519

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": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1760031645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22619 MILLENBACH ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480812598",
            "telephone_number": "248-508-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22619 MILLENBACH ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480812598",
            "telephone_number": "248-508-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYSER",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704304105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.