STACEY RENAE COUCH
NPI 1215690458
Nurse Practitioner - Family in Southfield, MI

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since October 14, 2021PECOS Enrolled

18591 W 10 MILE RD, SOUTHFIELD, MI 48075(248) 621-9443(248) 621-9553 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 27, 2022, Oct 14, 2021 (2 updates tracked since 2021).

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About Stacey Renae Couch NPPES

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

STACEY RENAE COUCH (NPI 1215690458) is an individual family provider in Southfield, Michigan, licensed in Michigan (4704321587) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215690458

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTACEY RENAE COUCH

Location Address18591 W 10 MILE RDSouthfield, MI 48075-2619

Mailing Address23938 Fairview CtFarmington Hills, MI 48335-3117 · (313) 743-2512

Phone(248) 621-9443

Fax(248) 621-9553

Sole ProprietorNo

Enumeration DateOctober 14, 2021

Last NPPES UpdateJanuary 9, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2024

✔ NPI 1215690458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704321587

Also ListedRegistered NurseTaxonomy 163W00000X · License 4704321587 (MI)

18591 W 10 MILE RD, Southfield, MI 48075

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Renae Couch 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 48075 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

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.