Stephen Glen Markham, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704326909 Issued in MI

Practice address

1200 N Main St
Adrian, MI 49221-1759

Phone

(517) 263-1800

NPI assigned

Feb 5, 2021

Last updated

Jun 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Medical Center of Michigan IncGroup PAC ID 2769575653, 31 clinicians

Pure Psychiatry of Michigan PLLCGroup PAC ID 1254741283, 102 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Registered Nurse

Practice roles

Locations

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.

• Family Medical Center of Michigan,Inc

  • Federally Qualified Health Center (FQHC)
  • Temperance, MI
  • NPI 1265591812
  Medicare reassignment Care Compare group NPD
• Pure Psychiatry of Michigan PLLC

  • Physician Assistant
  • Wayne, MI
  • NPI 1831701671
  Medicare reassignment Care Compare group NPD
• Family Medical Center of Michigan, Inc

  • Federally Qualified Health Center (FQHC)
  • Adrian, MI
  • NPI 1457640930
  NPD
• Family Medical Center of Michigan,Inc

  dba Family Medical Center-Monroe Main

  • Federally Qualified Health Center (FQHC)
  • Monroe, MI
  • NPI 1023655149
  NPD
• Pure Psychiatry of Michigan PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ann Arbor, MI
  • NPI 1487563805
  NPD (past)
• Pure Psychiatry of Michigan PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton Township, MI
  • NPI 1528977543
  NPD (past)

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1790377331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51350 FORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874638",
            "telephone_number": "734-560-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N MAIN ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211759",
            "telephone_number": "517-263-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51350 Ford Rd",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481874638",
            "country_code": "US",
            "telephone_number": "734-560-6765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKHAM",
        "first_name": "STEPHEN",
        "middle_name": "GLEN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-05",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704326909",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704326909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Manwaring, PT
• Maple Family Dentistry PLLC
• Mark a Mastellotto Ddspc
• Mark a. Mastellotto (Mark Mastellotto DDS PC)
• Donna J Markham, PHD
• Kathleen Markovich
• Nathan Vaughan Marks, B.A.
• Donna Marowelli, LLPC
• Destini Rae Marry, LLMSW
• Jacquelyn Marie Marry, LLPC

• Psychiatric/Mental Health Nurse Practitioner in Adrian, MI
• Providers in Adrian, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.

Verify at the official NPI Registry.