NPIMap

Individual provider Active NPI

Kerry L Stone, PA-C

  • Physician Assistant
  • Farmington Hills, MI
National Provider Identifier
1902970890
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004177 Issued in MI
Practice address
28100 Grand River Ave Ste 206
Farmington Hills, MI 48336-5969
Phone
(947) 521-2710
Fax
(248) 888-2712
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601004177 MI Primary

Addresses

Primary practice location

28100 Grand River Ave Ste 206
Farmington Hills, MI 48336-5969

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Phone (947) 522-1862

Other practice location 1

6255 Inkster Rd Ste 101
Garden City, MI 48135-2538
Phone (734) 421-4850

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kstone96405@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070524000498 MI Practitioner - Physician Assistant 6406953850 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oakwood Ambulatory LLCGroup PAC ID 1850282914, 271 clinicians

Practice addresses (Care Compare)

201 3Rd St
Suite 200
Belleville, MI 48111-2605
Phone (734) 697-9065

39000 W 7 Mile Rd
4300 Corewell Health
Livonia, MI 48152-1006
Phone (947) 523-4390

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601004177MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Ambulatory LLC CurrentSince Dec 1, 2018 Accepting new patients
Botsford General Hospital CurrentSince Jan 16, 2018 Accepting new patients
Botsford General Hospital CurrentSince Jan 16, 2018 Accepting new patients
Botsford General Hospital Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

27031 W Warren St
Dearborn Heights, MI 48127
Phone (313) 274-3320

28100 Grand River Ave
Ste 206S
Farmington Hills, MI 48336
Phone (947) 521-2710

28100 Grand River Ave
Ste 206
Farmington Hills, MI 48336
Phone (248) 471-1549

32754 Grand River Ave
Farmington Hls, MI 48336
Phone (248) 476-3280

39000 7 Mile Rd
Ste 4300
Livonia, MI 48152
Phone (947) 523-4390

15540 Beech Daly Rd
Redford, MI 48239
Phone (313) 387-5253

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

Interoperability endpoints

  • Direct secure messaging: kstone96405@direct.beaumont.edu

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1902970890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1862",
            "fax_number": "248-522-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28100 GRAND RIVER AVE STE 206",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365969",
            "telephone_number": "947-521-2710",
            "fax_number": "248-888-2712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6255 Inkster Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "MI",
            "postal_code": "481352538",
            "country_code": "US",
            "telephone_number": "734-421-4850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONE",
        "first_name": "KERRY",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kstone96405@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "28100 Grand River Ave Ste 206",
            "city": "Farmington Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483365969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.