Benjamin Robert Stevens, FNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

4704301140 Issued in MI

Practice address

4150 E Beltline Ave NE Ste 3
Grand Rapids, MI 49525-9316

Phone

(616) 447-9888

NPI assigned

Nov 25, 2017

Last updated

Apr 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Performance Integrated Medicine PLCGroup PAC ID 7012918196, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Peak Performance Integrated Medicine, PLC

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1932250693
  Medicare reassignment Care Compare group
• Las Colinas Physical Medicine PLLC

  • Internal Medicine Physician
  • Irving, TX
  • NPI 1578285755

  Family

  NPD
• Apex Medical Group, PLLC

  dba True Health NTX

  • General Practice Physician
  • Prosper, TX
  • NPI 1366908360
  NPD (past)
• Austin Oaks Physical Medicine PLLC

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1003538182

  Family

  NPD (past)
• Sundance Physical Medicine PLLC

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1831811918

  Family

  NPD (past)
• V. John Gonino D.O, P.a.

  • Family Medicine Physician
  • Heath, TX
  • NPI 1346493285
  NPD (past)

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

{
    "created_epoch": "1511568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1871007146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 FARM CT SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467932",
            "telephone_number": "616-644-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 E BELTLINE AVE NE STE 3",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259316",
            "telephone_number": "616-447-9888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7718 Wood Hollow Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787311602",
            "country_code": "US",
            "telephone_number": "737-304-7500",
            "fax_number": "737-403-7501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 W 7th St Ste 450",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761022601",
            "country_code": "US",
            "telephone_number": "817-935-8200",
            "fax_number": "817-887-5052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 W John Carpenter Fwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750392024",
            "country_code": "US",
            "telephone_number": "972-378-0383",
            "fax_number": "972-403-3434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "BENJAMIN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-25",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1035992",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704301140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven G. Hamming, Psy.D., PC
• Aimee Blanke Stevens, LMSW
• Alison Stevens
• Amanda Joy Stevens, DO
• Andrew Stevens, MD
• Domonique Stevens, LMSW
• Duncan Stevens, MD
• Elizabeth Anne Stevens, MS, CCC-SLP
• Erica Elsing Stevens, D.O.
• Geoffery Lyle Stevens, LMSW,CSW

• Primary Care Nurse Practitioner in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Primary Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.