Active NPI
Deborah Ann Stewart, NP
- Critical Care Pediatric Nurse Practitioner
- Kalamazoo, MI
National Provider Identifier
1851494272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Pediatric Nurse Practitioner
- License
- 4704169641
- Practice address
- 601 John St
Suite E-352
Kalamazoo, MI 49007-5341 - Phone
- (269) 341-8986
- Fax
- (269) 341-6236
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Pediatric Nurse Practitioner | 363LP0222X | 4704169641 | MI | Primary |
Addresses
Primary practice location
601 John St
Suite E-352
Kalamazoo, MI 49007-5341
Mailing address
601 John St
Suite E-352
Kalamazoo, MI 49007-5341
Phone (269) 341-8986
Other practice location 1
829 N Center Ave
Gaylord, MI 49735-1595
Phone (989) 731-7996
Other practice location 2
1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 935-6250
Other practice location 3
14700 Lake Shore Dr
Charlevoix, MI 49720-1931
Phone (231) 547-4024
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4917471 | Medicaid | MI |
Other names 1
- Deborah Ann Sosinski
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.bronsonhg.org | Direct | Bronson Healthcare Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704169641 | MI | MD | Critical Care Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Medical Center | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Traverse City, MI
- NPI 1881623031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1851494272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 JOHN ST",
"address_2": "SUITE E-352",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490075341",
"telephone_number": "269-341-8986",
"fax_number": "269-341-6236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 JOHN ST",
"address_2": "SUITE E-352",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490075341",
"telephone_number": "269-341-8986",
"fax_number": "269-341-6236"
}
],
"practiceLocations": [
{
"address_1": "829 N Center Ave",
"address_purpose": "LOCATION",
"city": "Gaylord",
"state": "MI",
"postal_code": "497351595",
"country_code": "US",
"telephone_number": "989-731-7996",
"fax_number": "989-731-9151",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1105 Sixth St",
"address_purpose": "LOCATION",
"city": "Traverse City",
"state": "MI",
"postal_code": "496842345",
"country_code": "US",
"telephone_number": "231-935-6250",
"fax_number": "231-935-8357",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14700 Lake Shore Dr",
"address_purpose": "LOCATION",
"city": "Charlevoix",
"state": "MI",
"postal_code": "497201931",
"country_code": "US",
"telephone_number": "231-547-4024",
"fax_number": "231-547-8088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEWART",
"first_name": "DEBORAH",
"middle_name": "ANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0222X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics, Critical Care",
"state": "MI",
"license": "4704169641",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4917471",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.bronsonhg.org",
"affiliation": "Y",
"endpointDescription": "Bronson Healthcare Group Direct address",
"affiliationName": "Bronson Healthcare Group",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Continuity of Care Document",
"address_1": "601 John St",
"city": "Kalamazoo",
"state": "MI",
"country_code": "US",
"postal_code": "490075341",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "SOSINSKI",
"middle_name": "ANN",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.