Individual provider Active NPI

Stephen Shaheen, AGPCNP

  • Primary Care Nurse Practitioner
  • Troy, MI
National Provider Identifier
1992657951
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4704288387MOD1802035 Issued in MI
Practice address
5070 Babbit Dr
Troy, MI 48085-3429
Phone
(248) 909-3598
NPI assigned
Feb 12, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4704288387MOD1802035 MI Primary

Addresses

Primary practice location

5070 Babbit Dr
Troy, MI 48085-3429

Mailing address

5070 Babbit Dr
Troy, MI 48085-3429
Phone (248) 909-3598

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260622003165 MI Practitioner - Nurse Practitioner 7911470943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1213 Mason St
Dearborn, MI 48124-2841

326 S Mount Auburn Rd
Cape Girardeau, MO 63703-4907

5070 Babbit Dr
Troy, MI 48085-3429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704288387MOD1802035MIMDPrimary Care Nurse Practitioner

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1992657951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5070 BABBIT DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853429",
            "telephone_number": "248-909-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5070 BABBIT DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853429",
            "telephone_number": "248-909-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHEEN",
        "first_name": "STEPHEN",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704288387MOD1802035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.