Kristine Stamos, NP
Individual provider Active NPI Family Nurse Practitioner · Flushing, MI
NPI 1992340376 · NPPES record last updated Jan 18, 2024
Key facts
- NPI
- 1992340376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704284062 (MI)
- Practice address
- 6122 W Pierson Rd Unit 1
Flushing, MI 48433-3104 - Phone
- (810) 600-3399
- NPI assigned
- Nov 9, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hurley Medical Center
Advanced Cardiovascular Clinic PC
Practice addresses (Care Compare)
1 Hurley Plasa
9W Hurley Maternal Fetal Medicine
Flint, MI 48503-5902
Phone (810) 262-4787
1 Hurley Plaza
Attn Professional Billing Dept
Flint, MI 48503-5902
1 Hurley Plaza Attn Pro Billing Dept
Flint, MI 48503-5902
1 Hurley Plaza Ground N Clinic
Hurley Nurse Practitioner Group
Flint, MI 48503-5902
Phone (810) 262-9191
1 Hurley PLZ
Flint, MI 48503-5902
102 N Adelaide St
Fenton, MI 48430-2670
Phone (810) 262-6555
6122 W Pierson Rd
Unit 1
Flushing, MI 48433-3104
Phone (810) 600-3399
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 |
|---|---|---|---|---|
| I20200720000191 | MI | Practitioner - Nurse Practitioner | 7214366426 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Cardiovascular Clinic PC | Current |
Accepting new patients | |
| Hurley Medical Center | Current |
Accepting new patients | |
| Advanced Cardiovascular Clinic PC | Current |
Accepting new patients | |
| Hurley Medical Center | Nurse Practitioner | Current |
Accepting new patients |
| Hurley Medical Center | Current | Accepting new patients | |
| Hurley Medical Center | Current |
Accepting new patients | |
| Theoria Medical | Nurse Practitioner | Past | Accepting new patients |
Locations
102 N Adelaide St
Ste D
Fenton, MI 48430
Phone (810) 600-6270
1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000
6122 W Pierson Rd
Unit 1
Flushing, MI 48433
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704284062 | MI | Yes |
Addresses
Primary practice location
6122 W Pierson Rd Unit 1
Flushing, MI 48433-3104
Mailing address
6122 W Pierson Rd Unit 1
Flushing, MI 48433-3104
Phone (810) 287-6500
Other providers in Flushing, MI
- Jasmine Renee Srda
- Layla Srour
- Jessica Ann Stacy
- Nasia Stacy
- Shalona Stacy
- Donna Jo Starks
- Kyle Taylor Stcharles
- Denise Steel
- Josephine Stein
- Zachary Steinbacher
All providers in Flushing, 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 Jan 18, 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.