Stacey Brooke Cantor, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Royal Oak, MI
NPI 1962837518 · NPPES record last updated Mar 19, 2024
Key facts
- NPI
- 1962837518
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704279344 (MI)
- Practice address
- 5150 Coolidge Hwy
Royal Oak, MI 48073-1001 - Phone
- (248) 655-3227
- Fax
- (248) 655-3237
- NPI assigned
- Sep 13, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Michigan Medical School, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Powerback Rehabilitation LLC
Practice addresses (Care Compare)
5025 Ann Arbor Rd
Jackson, MI 49201-8801
Phone (517) 879-1505
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161110000962 | MI | Practitioner - Nurse Practitioner | 9830323203 | Reassigns benefits to 11 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704279344 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Urgent Care, P. C. | Current | Accepting new patients | |
| Howell Urgent Care PLLC | Current |
Accepting new patients | |
| Washington Urgent Care, PLLC | Current |
Accepting new patients | |
| Somerset Urgent Care PLLC | Current |
Accepting new patients | |
| Michigan Healthcare Professionals PC | Current |
Accepting new patients | |
| Mound Urgent Care PLLC | Current |
Accepting new patients | |
| Royal Urgent Care, PLLC | Current |
Accepting new patients | |
| Oxford Urgent Care P L C | Current |
Accepting new patients | |
| Somerset Urgent Care PLLC | Current |
Accepting new patients | |
| Harper Urgent Care PLLC | Current |
Accepting new patients | |
| Michigan Healthcare Professionals PC | Current |
Accepting new patients | |
| Shelby Urgent Care PC | Current | Accepting new patients | |
| Elizabeth Lake Urgent Care PLLC | Current |
Accepting new patients | |
| Shelby Urgent Care PC | Current |
Accepting new patients | |
| Lakeside Urgent Care, P.C. | Current |
Accepting new patients | |
| Romeo Plank Urgent Care PLLC | Current |
Accepting new patients | |
| Encore Geriatrics PLLC | Current |
Accepting new patients | |
| First Choice Urgent Care PC | Past |
Accepting new patients | |
| Oxford Urgent Care, LLC | Past | Accepting new patients |
Locations
200 N Canton Center Rd
Canton, MI 48187
Phone (734) 656-8883
44472 Hayes Rd
Clinton Twp, MI 48038
Phone (586) 412-0890
29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430
27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552
1225 S Latson Rd
Ste 130
Howell, MI 48843
Phone (517) 338-2360
18200 23 Mile Rd
Macomb, MI 48044
Phone (586) 992-5500
520 Main St
#M
Manistique, MI 49854
Phone (906) 341-6921
72 S Washington St
Ste 102
Oxford, MI 48371
Phone (248) 236-8333
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
2632 S Rochester Rd
Unit 70747
Rochester Hills, MI 48307
2708 S Rochester Rd
Ste A
Rochester Hills, MI 48307
Phone (248) 309-3344
4080 Crooks Rd
Royal Oak, MI 48073
Phone (248) 280-1080
51850 Dequindre Rd
Ste 1
Shelby Township, MI 48316
Phone (586) 799-4082
25515 Harper Ave
#U
St Clr Shores, MI 48081
Phone (248) 850-8395
25515 Harper Ave
St Clr Shores, MI 48081
Phone (248) 850-8395
1500 W Big Beaver Rd
Ste 104
Troy, MI 48084
Phone (248) 649-4444
31200 Mound Rd
Warren, MI 48092
Phone (248) 850-8395
7701 26 Mile Rd
Washington, MI 48094
Phone (586) 935-4000
2446 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 309-3344
8365 N Newburgh Rd
#Four
Westland, MI 48185
Phone (734) 416-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA.14865-NP | OH | |
| Family Nurse Practitioner | 363LF0000X | 4704279344 | MI | Yes |
| Nurse Practitioner | 363L00000X | 4704279344 | MI |
Addresses
Primary practice location
5150 Coolidge Hwy
Royal Oak, MI 48073-1001
Mailing address
130 Town Center Dr
203
Troy, MI 48084-1744
Phone (248) 655-3227
Other names
- Stacey Brooke Victor
Other providers in Royal Oak, MI
- Benjamin Michael Campbell
- Stephanie Campbell
- Tricia Campbell
- Cancer Care Associates PC
- Michael Cantley
- Christine Claire Cantrell
- Gonzalo Nathaniel Cantu Soriano
- XI Cao
- Cap Diagnostics LLC
- Julia Capeneka
All providers in Royal Oak, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.