1. Home
  2. Directory
  3. Missouri
  4. Milan
  5. Nurse Practitioner
  6. NPI Profile

STEPHANIE ALVERA GRANNEMAN NURSE PRACTITIONER
NPI 1114008281
Nurse Practitioner - Family in Milan, MO

Active since October 17, 2006PECOS Enrolled
210 N MARKET ST, MILAN, MO 63556(660) 265-4456(660) 265-4627 Get Directions Write a Review

NPPES record last updated: March 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Alvera Granneman Nurse Practitioner NPPES

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

STEPHANIE ALVERA GRANNEMAN NURSE PRACTITIONER (NPI 1114008281) is an individual family provider in Milan, Missouri, licensed in Missouri (RN086431) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114008281
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE ALVERA GRANNEMANCredential: NURSE PRACTITIONER
Location Address210 N MARKET STMilan, MO 63556
Mailing Address210 N Market StMilan, MO 63556-1316 · (660) 265-4456 · Fax (660) 265-4627
Phone(660) 265-4456
Fax(660) 265-4627
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateMarch 12, 2008
✔ NPI 1114008281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · RN086431
210 N MARKET ST, Milan, MO 63556
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINS18332MO
Medicare ID-Type Unspecified263834MO · Rural Health Clinic

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Alvera Granneman Nurse Practitioner 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 63556 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$35.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SULLIVAN COUNTY MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
210 N MARKET ST
MILAN, MO 63556
Sullivan County (660) 265-4456
KENNETH RICHARDS D.O.
Family Medicine
210 N MARKET ST
MILAN, MO 63556
Sullivan County (660) 265-4456
DALE ESSMYER D.O.
Family Medicine
210 N MARKET ST
MILAN, MO 63556
Sullivan County (660) 265-4456
SHERRI LYNN HEDGES APRN, FNP, BC
Nurse Practitioner (Family)
210 N MARKET ST
MILAN, MO 63556
Sullivan County (660) 265-4456

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 Stephanie Granneman's NPI number?

The NPI number for Stephanie Granneman is 1114008281. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Stephanie Granneman located?

Stephanie Granneman practices at 210 N Market St, Milan, MO 63556. The listed phone number is (660) 265-4456.

What is Stephanie Granneman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stephanie Granneman enrolled in Medicare?

Yes. Stephanie Granneman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Granneman was last updated on March 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.