Stacey Anne Austin, FNP – Family Nurse Practitioner

Key facts

NPI: 1831696111
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 4704275033 (MI)
Practice address: 1915 E 14 Mile Rd
Birmingham, MI 48009-7244
Phone: (248) 723-4777
NPI assigned: Apr 12, 2018
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Cardiology and Arrythmia Consultants P.C. Cardiovascular Disease Physician · Birmingham, MI · NPI 1518154798

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
4704275033	MI	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Cardiology and Arrythmia Consultants P.C.		Past since Apr 1, 2005	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	4704275033	MI	Yes

Addresses

Primary practice location

1915 E 14 Mile Rd
Birmingham, MI 48009-7244

Mailing address

1776 John Paul CT
Oxford, MI 48371-4472
Phone (248) 310-1712

Other practice location 1

178 N Adams Rd
Rochester Hills, MI 48309-1376
Phone (248) 955-5343

Other providers in Birmingham, MI

All providers in Birmingham, MI · Family 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 Jan 13, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.