HALEY LYNN STUTZKY NP
NPI 1063147486
Nurse Practitioner - Gerontology in Grand Rapids, MI
About Haley Lynn Stutzky Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HALEY LYNN STUTZKY NP (NPI 1063147486) is an individual gerontology provider in Grand Rapids, Michigan, licensed in Michigan (4704316348) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Haley Lynn Stutzky Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Haley Stutzky reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 2,446 clinicians in this Medicare group
Saint Joseph, MI 49085
- Reassigned Medicare billing, Michigan enrollment
- 724 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
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 Haley Stutzky's NPI number?
The NPI number for Haley Stutzky is 1063147486. It was assigned to this individual provider in the NPPES registry on July 20, 2022. The provider is also known as Haley Vanwormer.
Where is Haley Stutzky located?
Haley Stutzky practices at 100 Michigan St NE # Mc019, Grand Rapids, MI 49503. The listed phone number is (616) 486-0310.
What is Haley Stutzky's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Haley Stutzky enrolled in Medicare?
Yes. Haley Stutzky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Haley Stutzky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Haley Stutzky reassigns Medicare benefits to 2 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI) and Lakeland Medical Practices (Saint Joseph, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Haley Stutzky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Haley Stutzky accept?
Health plans from Priority Health list Haley Stutzky 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 Haley Stutzky was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Haley Lynn Stutzky, NP · NPI 1063147486
Gerontology physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since July 20, 2022.
## Identity
- **NPI:** 1063147486 (Entity type: Individual)
- **Enumerated:** July 20, 2022
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 4704316348 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 MICHIGAN ST NE # MC019, Grand Rapids, MI 49503-2560
- **Phone:** (616) 486-0310
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Spectrum Health Primary Care Partners (NPI 1790093763, Grand Rapids, MI); Lakeland Medical Practices (NPI 1538397120, Saint Joseph, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** October 24, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1063147486) · Data from the CMS NPPES public registry.