STACI CHRISTINE BLACKBURN MD
NPI 1215148077
Internal Medicine in Ann Arbor, MI

Active since May 24, 2007PECOS EnrolledAccepts Medicare Assignment
1500 EAST MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CTR RECP 'B', ANN ARBOR, MI 48109(734) 936-5582 Get Directions Write a Review

NPPES record last updated: December 5, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 5, 2018, Nov 1, 2018 (2 updates tracked since 2018).

About Staci Christine Blackburn Md NPPES

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

STACI CHRISTINE BLACKBURN MD (NPI 1215148077) is an individual internal medicine provider in Ann Arbor, Michigan, licensed in Michigan (4301084180) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health System, and is a graduate of Wayne State University School Of Medicine (2004).

NPPES Registry Identity

NPI1215148077
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSTACI CHRISTINE BLACKBURNCredential: MD
Location Address1500 EAST MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CTR RECP 'B'Ann Arbor, MI 48109-5352
Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2004
Enumeration DateMay 24, 2007
Last NPPES UpdateDecember 5, 20182 updates tracked since enumeration
NPI 1215148077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 4301084180
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 4301084180 (MI)
1500 EAST MEDICAL CENTER DR, Ann Arbor, MI 48109

Other Names 1

Former Name (1)Stace Valley

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Staci Christine Blackburn Md 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.

PECOS PAC ID547334526
PECOS Enrollment IDI20080808000709
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
138 services67 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
76 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
37 services28 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
31 services31 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services18 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Michigan Health System

Acute Care Hospitals · Ann Arbor, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230046
Location1500 E Medical Center Drive, Spc 5474Ann Arbor, MI 48109 · Washtenaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48109 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$19.50 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$93.86 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$32.62 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 20

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

Internal Medicine
1500 EAST MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CTR RECP B
ANN ARBOR, MI 48109
Physician Assistant
1500 EAST MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CTR RECP D
ANN ARBOR, MI 48109
Emergency Medicine
1500 EAST MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY
ANN ARBOR, MI 48109
Physician Assistant
1500 EAST MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CTR RECP F
ANN ARBOR, MI 48109
Internal Medicine
1500 EAST MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP 2B355
ANN ARBOR, MI 48109
Advanced Practice Midwife
1500 EAST MEDICAL CENTER DR, UNIVERSITY HOSPITAL
ANN ARBOR, MI 48109
Nurse Anesthetist, Certified Registered
1500 EAST MEDICAL CENTER DR, 1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI 48109
Internal Medicine
1500 EAST MEDICAL CENTER DR, B1 FLOOR CANCER RECP B
ANN ARBOR, MI 48109

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 Staci Blackburn's NPI number?

The NPI number for Staci Blackburn is 1215148077. It was assigned to this individual provider in the NPPES registry on May 24, 2007. The provider is also known as Stace Valley.

Where is Staci Blackburn located?

Staci Blackburn practices at 1500 East Medical Center Dr 3rd Floor Taubman Ctr Recp 'b', Ann Arbor, MI 48109. The listed phone number is (734) 936-5582.

What is Staci Blackburn's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Staci Blackburn enrolled in Medicare?

Yes. Staci Blackburn 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.

What insurance does Staci Blackburn accept?

Health plans from McLaren Health Plan Community and Priority Health list Staci Blackburn 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.

Is Staci Blackburn affiliated with any hospitals?

According to CMS data, Staci Blackburn is affiliated with University Of Michigan Health System.

When was this NPI record last updated?

The NPPES record for Staci Blackburn was last updated on December 5, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.