Individual provider Active NPI

Chelsea Stimbert

  • Acute Care Nurse Practitioner
  • Macomb, MI
National Provider Identifier
1861197956
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704274999 Issued in MI
Practice address
15959 Hall Rd Ste Ll104
Macomb, MI 48044-5364
Phone
(586) 799-1212
NPI assigned
Mar 30, 2023
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704274999 MI Primary

Addresses

Primary practice location

15959 Hall Rd Ste Ll104
Macomb, MI 48044-5364

Mailing address

780 Forestberry CT
Milford, MI 48381-2609
Phone (248) 830-7794

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231011002995 MI Practitioner - Nurse Practitioner 8325493349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenneth L Gwinn MD PCGroup PAC ID 8325098791, 6 clinicians

Practice addresses (Care Compare)

15959 Hall Rd
Suite Ll104
Macomb, MI 48044-5364
Phone (586) 799-1212

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704274999MIMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth L Gwinn MD PC CurrentSince Sep 5, 2023 Accepting new patients

Locations

15959 Hall Rd
Ste LL104
Macomb, MI 48044
Phone (586) 799-1212

Interoperability endpoints

  • Direct secure messaging: cstimbert892502@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1861197956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 FORESTBERRY CT",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483812609",
            "telephone_number": "248-830-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15959 HALL RD STE LL104",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480445364",
            "telephone_number": "586-799-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIMBERT",
        "first_name": "CHELSEA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704274999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

Verify at the official NPI Registry.