Individual provider Active NPI

Stacy Lynn Oliver, FNP

  • Nurse Practitioner
  • Brown City, MI
National Provider Identifier
1881355592
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704293481 Issued in MI
Practice address
2386 Stiles Rd
Brown City, MI 48416-9106
Phone
(810) 627-3608
NPI assigned
Jan 5, 2022
Last updated
May 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704293481 MI Primary
Family Nurse Practitioner 363LF0000X F10210347 MI

Addresses

Primary practice location

2386 Stiles Rd
Brown City, MI 48416-9106

Mailing address

2386 Stiles Rd
Brown City, MI 48416-9106
Phone (810) 627-3608

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
I20220315000627 MI Practitioner - Nurse Practitioner 3870988611 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Care Solutions for Adults and Seniors IncGroup PAC ID 4880918051, 71 clinicians

Practice addresses (Care Compare)

39465 W 14 Mile Rd
Novi, MI 48377-1600
Phone (877) 906-9699

4285 Rose LN
Gladwin, MI 48624-7215
Phone (248) 859-3900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704293481MIMDNurse Practitioner
F10210347MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Inpatient Physicians-Michigan, PLLC Nurse Practitioner Current Accepting new patients
Hills & Dales General Hospital, Inc. Current Accepting new patients
Behavioral Care Solutions for Adults and Seniors, Inc. Family CurrentSince Apr 12, 2025 Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince Dec 9, 2024 Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince Dec 9, 2024 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC CurrentSince Oct 21, 2024 Accepting new patients
Marlette Regional Hospital CurrentSince Jan 1, 2025 Accepting new patients
Sound Inpatient Physicians-Michigan PLLC CurrentSince Oct 21, 2024 Accepting new patients
Marlette Regional Hospital CurrentSince Jan 1, 2025 Accepting new patients

Locations

4472 Main St
Brown City, MI 48416
Phone (810) 346-2751

1048 E Caro Rd
Caro, MI 48723
Phone (989) 672-1399

4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121

4675 Hill St
Ste A
Cass City, MI 48726
Phone (989) 872-8202

4675 Hill St
Ste B
Cass City, MI 48726
Phone (989) 912-6112

2750 Main St
Ste 4
Marlette, MI 48453
Phone (989) 635-2643

2770 Main St
Marlette, MI 48453
Phone (989) 635-4000

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

Interoperability endpoints

  • Direct secure messaging: soliver170792@direct.covenanthealthcare.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1881355592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2386 STILES RD",
            "city": "BROWN CITY",
            "state": "MI",
            "postal_code": "484169106",
            "telephone_number": "810-627-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2386 STILES RD",
            "city": "BROWN CITY",
            "state": "MI",
            "postal_code": "484169106",
            "telephone_number": "810-627-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704293481",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "F10210347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brown City, MI

Sources for this page

Verify at the official NPI Registry.