Individual provider Active NPI

Stephanie L Cunningham, MD

  • Emergency Medicine Physician
  • Grand Rapids, MI
National Provider Identifier
1982832226
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301094685 Issued in MI
Practice address
100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone
(616) 391-1680
NPI assigned
Jun 25, 2009
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301094685 MI
Emergency Medicine Physician 207P00000X 4301094685 MI Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 4301094685 MI

Addresses

Primary practice location

100 Michigan St NE
Grand Rapids, MI 49503-2560

Mailing address

4100 Embassy Dr SE Ste 400
Grand Rapids, MI 49546-2416
Phone (616) 975-1845

Other names 1

  • Stephanie L Coon Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120718000214 MI Practitioner - Emergency MedicinePractitioner - Addiction Medicine 2062678188 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Addiction Medicine
Education
Rush Medical College of Rush University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ecs Western Michigan PCGroup PAC ID 8628327384, 202 clinicians

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560
Phone (616) 391-1680

540 Jenner Dr
Allegan, MI 49010-1517
Phone (269) 673-6617

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301094685MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegan County Community Mental Health Services CurrentSince Mar 1, 2025 Accepting new patients
Spectrum Health Primary Care Partners Internal Medicine CurrentSince Mar 8, 2021 Accepting new patients
Newaygo County Mental Health Board CurrentSince May 1, 2021 Accepting new patients
Newaygo County Mental Health Board CurrentSince May 1, 2021 Accepting new patients
Allegan County Community Mental Health Services CurrentSince Mar 1, 2025 Accepting new patients
Visionary Medical Services PC Anesthesiology CurrentSince Jan 13, 2025 Accepting new patients
Cherry Street Services, Inc. Internal Medicine CurrentSince Jun 4, 2018 Accepting new patients
Spectrum Health Primary Care Partners Anesthesiology CurrentSince Mar 8, 2021 Accepting new patients
Cherry Street Services, Inc CurrentSince Jun 4, 2018 Accepting new patients
Rightcare Clinic PC CurrentSince Oct 1, 2024 Accepting new patients
Ecs Western Michigan PC Anesthesiology CurrentSince Aug 1, 2018 Accepting new patients
Cherry Street Services Inc Anesthesiology PastSince Jun 22, 2021 Accepting new patients

Locations

3285 122nd Ave
Allegan, MI 49010
Phone (269) 673-6617

540 Jenner Dr
Allegan, MI 49010
Phone (269) 673-6617

100 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 965-8209

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

1400 Leonard St NE
Grand Rapids, MI 49505
Phone (616) 774-0633

1840 Wealthy St SE
Grand Rapids, MI 49506
Phone (616) 391-1730

2303 Kalamazoo Ave SE
Grand Rapids, MI 49507
Phone (616) 242-6400

2303 Kalamazoo Ave SE
Ste 200
Grand Rapids, MI 49507
Phone (616) 965-8379

4100 Embassy Dr SE
Ste 400
Grand Rapids, MI 49546
Phone (616) 285-8075

550 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 235-7272

743 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 456-9553

1003 N Lafayette St
Greenville, MI 48838
Phone (616) 225-9650

615 S Bower St
Greenville, MI 48838
Phone (616) 754-4341

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

1611 Oak Ave
Muskegon, MI 49442
Phone (231) 724-6050

1049 E Newell St
White Cloud, MI 49349
Phone (231) 689-7300

Interoperability endpoints

  • Direct secure messaging: stephanie.cunningham.p1@direct.cherryhealth.nextgenshare.com

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1982832226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 EMBASSY DR SE STE 400",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462416",
            "telephone_number": "616-975-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-391-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301094685",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301094685",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "4301094685",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "COON",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.