Stephen Glen Markham, RN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Adrian, MI
NPI 1790377331 · NPPES record last updated Jun 4, 2025
Key facts
- NPI
- 1790377331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 4704326909 (MI)
- Practice address
- 1200 N Main St
Adrian, MI 49221-1759 - Phone
- (517) 263-1800
- NPI assigned
- Feb 5, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- 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 Inc
Pure Psychiatry of Michigan PLLC
Practice addresses (Care Compare)
130 Medical Ctr Dr
Carleton, MI 48117-9461
Phone (734) 654-2169
2755 Carpenter Rd
Suite 3SE
Ann Arbor, MI 48108-1187
Phone (734) 548-6099
8765 Lewis Ave
Temperance, MI 48182-9583
Phone (734) 847-3802
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230803000204 | MI | Practitioner - Nurse Practitioner | 3072974377 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medical Center of Michigan,Inc | Current | Accepting new patients | |
| Family Medical Center of Michigan, Inc | Current |
Accepting new patients | |
| Family Medical Center of Michigan,Inc | Current |
Accepting new patients | |
| Pure Psychiatry of Michigan PLLC | Current |
Accepting new patients |
Locations
1200 N Main St
Adrian, MI 49221
Phone (517) 263-1800
2755 Carpenter Rd
Ste 3SE
Ann Arbor, MI 48108
Phone (734) 548-6099
130 Medical Center Dr
Carleton, MI 48117
39600 Garfield Rd
Ste F
Clinton Twp, MI 48038
Phone (586) 307-6566
901 N Macomb St
Monroe, MI 48162
Phone (734) 243-2410
1085 N Macomb St
#O
Monroe, MI 48162
Phone (734) 639-2546
8765 Lewis Ave
Temperance, MI 48182
650 E Big Beaver Rd
Ste C
Troy, MI 48083
Phone (248) 781-8921
34841 Veterans Plz
Wayne, MI 48184
Phone (313) 292-7640
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704326909 | MI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704326909 | MI | Yes |
Addresses
Primary practice location
1200 N Main St
Adrian, MI 49221-1759
Mailing address
51350 Ford Rd
Canton, MI 48187-4638
Phone (734) 560-6765
Other practice location 1
51350 Ford Rd
Canton, MI 48187-4638
Phone (734) 560-6765
Other providers in Adrian, MI
- Angela Marie Manwaring
- Maple Family Dentistry PLLC
- Mark a Mastellotto Ddspc
- Mark a. Mastellotto
- Donna J Markham
- Kathleen Markovich
- Nathan Vaughan Marks
- Donna Marowelli
- Destini Rae Marry
- Jacquelyn Marie Marry
All providers in Adrian, MI · Psychiatric/Mental Health Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.