Individual provider Active NPI

Cynthia Anne Stuard, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Okemos, MI
National Provider Identifier
1871139980
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704301026 Issued in MI
Practice address
2090 Jolly Rd Ste 150
Okemos, MI 48864-6036
Phone
(517) 349-3900
NPI assigned
Nov 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704301026 MI Primary

Addresses

Primary practice location

2090 Jolly Rd Ste 150
Okemos, MI 48864-6036

Mailing address

2090 Jolly Rd Ste 150
Okemos, MI 48864-6036
Phone (517) 349-3900

Other practice location 1

2800 Vicary Rd
Horton, MI 49246-9719
Phone (810) 588-2325

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
I20200130000741 MI Practitioner - Nurse Practitioner 1153757778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W. a. Foote Memorial Hospital, Inc.Group PAC ID 0244136067, 476 clinicians

Practice addresses (Care Compare)

205 N E Ave
Jackson, MI 49201-1753

7845 Spring Arbor Rd
Spring Arbor, MI 49283-9785
Phone (517) 205-2580

813 W Michigan Ave
Henry Ford Allegiance Osteoporosis Center
Jackson, MI 49202-4158
Phone (517) 205-1000

Hospital & facility affiliations

  • Henry Ford Allegiance Home Care Home health agency, Jackson, MI, CCN 237405
  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
W.a. Foote Memorial Hospital, Inc CurrentSince Sep 14, 2021 Accepting new patients
Wa Foote Memorial Hospital, Inc Nurse Practitioner Current Accepting new patients
W.a. Foote Memorial Hospital, Inc Nurse Practitioner CurrentSince Sep 14, 2021 Accepting new patients
Wa Foote Memorial Hospital, Inc Past Accepting new patients

Locations

744 W Michigan Ave
Jackson, MI 49201
Phone (517) 768-0600

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

2800 Spring Arbor Rd
Ste 101
Jackson, MI 49203
Phone (517) 205-2109

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

150 S East Ave
Jackson, MI 49201
Phone (517) 205-2146

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

Interoperability endpoints

  • Direct secure messaging: cstuard502142@direct.hfhs.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1574553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1871139980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 JOLLY RD STE 150",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646036",
            "telephone_number": "517-349-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 JOLLY RD STE 150",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646036",
            "telephone_number": "517-349-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 Vicary Rd",
            "address_purpose": "LOCATION",
            "city": "Horton",
            "state": "MI",
            "postal_code": "492469719",
            "country_code": "US",
            "telephone_number": "810-588-2325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUARD",
        "first_name": "CYNTHIA",
        "middle_name": "ANNE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-24",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704301026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.