Stephanie Anderson, D.C
Individual provider Active NPI Chiropractor · Pellston, MI
NPI 1811661978 · NPPES record last updated Oct 22, 2025
Key facts
- NPI
- 1811661978
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301011138 (MI)
- Practice address
- 421 Stimpson Dr Unit 104
Pellston, MI 49769-8800 - Phone
- (906) 286-0163
- NPI assigned
- Aug 3, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
421 Stimpson Dr
Unit 104
Pellston, MI 49769-8800
Phone (906) 286-0163
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210909002864 | MI | Practitioner - Chiropractic | 7618373077 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5749-12 | WI | |
| Chiropractor | 111N00000X | 2301011138 | MI | Yes |
Addresses
Primary practice location
421 Stimpson Dr Unit 104
Pellston, MI 49769-8800
Mailing address
861 Glen Haven Cir Apt 2
Petoskey, MI 49770-2896
Phone (906) 286-0163
Other names
- Stephanie L Zellar
Other providers in Pellston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 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.
- 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.