Active NPI
Stephanie Jo Sweeney, MSN, FNP-BC
- Nurse Practitioner
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704301147
- Practice address
- 555 Midtowne St NE Ste 105
Grand Rapids, MI 49503-5731 - Phone
- (616) 459-7101
- NPI assigned
- May 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Registered Nurse | 163WX0800X | 4704301147 | MI | |
| Family Nurse Practitioner | 363LF0000X | 4704301147 | MI | |
| Nurse Practitioner | 363L00000X | 4704301147 | MI | Primary |
Addresses
Primary practice location
555 Midtowne St NE Ste 105
Grand Rapids, MI 49503-5731
Mailing address
1111 Leffingwell Ave NE
Grand Rapids, MI 49525-6406
Phone (616) 459-7101
Other names 1
- Miss Stephanie Jo Maat
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Leffingwell Ave NE
Grand Rapids, MI 49525-6406
Phone (616) 459-7101
Hospital & facility affiliations
- University of Michigan Health - West
- Spectrum Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704301147 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Associates of Grand Rapids, PC | Family | Current | Accepting new patients |
| Orthopaedic Associates of Grand Rapids PC | Current | Accepting new patients | |
| Orthopaedic Associates of Grand Rapids PC | Past | Accepting new patients |
Locations
555 Midtowne St NE
Ste 105
Grand Rapids, MI 49503
1111 Leffingwell Ave NE
Grand Rapids, MI 49525
Phone 61645971011381
1111 Leffingwell Ave NE
Ste 100
Grand Rapids, MI 49525
Phone 61645971011381
Interoperability endpoints
- stephanie.sweeney.p1@direct.oam.nextgenshare.com
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.
-
- Orthopaedic Surgery Physician
- Grand Rapids, MI
- NPI 1023021300
Family
-
- Internal Medicine Physician
- Novi, MI
- NPI 1528851607
-
- Durable Medical Equipment & Medical Supplies
- Grand Rapids, MI
- NPI 1740532035
-
- Durable Medical Equipment & Medical Supplies
- Grand Rapids, MI
- NPI 1215076435
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
-
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1942040100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 LEFFINGWELL AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495256406",
"telephone_number": "616-459-7101",
"fax_number": "616-464-6170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 MIDTOWNE ST NE STE 105",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495035731",
"telephone_number": "616-459-7101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEENEY",
"first_name": "STEPHANIE",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "MSN, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-27",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0800X",
"taxonomy_group": "",
"desc": "Registered Nurse, Orthopedic",
"state": "MI",
"license": "4704301147",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704301147",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704301147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "MAAT",
"middle_name": "JO",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.