DR. MARY BERNONA STEVENS D.D.S
NPI 1003819004
Dentist - General Practice in Grand Rapids, MI

Q: What is Mary Stevens's NPI number?

The NPI number for Mary Stevens is 1003819004. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Q: What is Mary Stevens's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Mary Stevens was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 23, 2005PECOS Enrolled

1172 NIXON AVE NW, GRAND RAPIDS, MI 49544(616) 453-0644(616) 453-0640 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mary Bernona Stevens D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY BERNONA STEVENS D.D.S (NPI 1003819004) is an individual general practice provider in Grand Rapids, Michigan, licensed in Michigan (12849) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003819004

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARY BERNONA STEVENSCredential: D.D.S

Location Address1172 NIXON AVE NWGrand Rapids, MI 49544-3638

Mailing Address1172 Nixon Ave NwGrand Rapids, MI 49534-3638 · (616) 453-0644 · Fax (616) 453-0640

Phone(616) 453-0644

Fax(616) 453-0640

Sole ProprietorYes

Enumeration DateMay 23, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1003819004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 12849

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1172 NIXON AVE NW, Grand Rapids, MI 49544

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Bernona Stevens D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49544 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Stevens's NPI number?

The NPI number for Mary Stevens is 1003819004. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Mary Stevens located?

Mary Stevens practices at 1172 Nixon Ave NW, Grand Rapids, MI 49544. The listed phone number is (616) 453-0644.

What is Mary Stevens's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mary Stevens enrolled in Medicare?

Yes. Mary Stevens is registered in the Medicare PECOS enrollment system.

What insurance does Mary Stevens accept?

Health plans from Delta Dental of Michigan list Mary Stevens as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Stevens was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.