Stacy Elizabeth Chittick

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

4704243827 Issued in MI

Practice address

55182 Westchester Dr
Shelby Township, MI 48316-5361

Phone

(586) 215-3159

NPI assigned

Aug 28, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Stacy Elizabeth Schlegel Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: schittick240634@direct.hfhs.org

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.

• Michel Hanna MD PC

  • Infectious Disease Physician
  • Rochester Hills, MI
  • NPI 1679592729
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1790185668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55182 WESTCHESTER DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483165361",
            "telephone_number": "586-215-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55182 WESTCHESTER DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483165361",
            "telephone_number": "586-215-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITTICK",
        "first_name": "STACY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704243827",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MI",
            "license": "4704243827",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "SCHLEGEL",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elina Chavez
• Erica Chavez, LPC
• Cheryl D Lerchin MD PLC
• Gina Maria Chippi, MS, PA-C
• Andrew Fletcher Chisholm, NP-C
• Lalani Choice
• Reanne Putrus Choulagh, PA-C
• Saline Elizabeth Choulagh
• Marwah Chowdhury
• Samantha Christian, LPN

• Acute Care Nurse Practitioner in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Acute Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.