MICHAEL ELLIS STERN
NPI 1265080832
Nurse Practitioner - Primary Care in Providence, RI

Active since August 27, 2019PECOS Enrolled
85.24/100
CMS Quality Rating
46 BARNES ST, PROVIDENCE, RI 02906(401) 744-6447 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 10, 2021, Aug 27, 2019 (2 updates tracked since 2019).

About Michael Ellis Stern NPPES

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

MICHAEL ELLIS STERN (NPI 1265080832) is an individual primary care provider in Providence, Rhode Island, licensed in Rhode Island (APRN02134) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265080832
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameMICHAEL ELLIS STERN
Location Address46 BARNES STProvidence, RI 02906-1502
Mailing Address7260 Post Rd, Ste 103North Kingstown, RI 02852-3246 · (401) 744-6447
Sole ProprietorNo
Enumeration DateAugust 27, 2019
Last NPPES UpdateFebruary 10, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2021
NPI 1265080832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in RI · APRN02134
46 BARNES ST, Providence, RI 02906

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael Ellis Stern 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.

Areas of Expertise CMS Part B claims

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

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.

85.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Improvement Activities40
Cost52.8

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 Michael Stern's NPI number?

The NPI number for Michael Stern is 1265080832. It was assigned to this individual provider in the NPPES registry on August 27, 2019.

Where is Michael Stern located?

Michael Stern practices at 46 Barnes St, Providence, RI 02906. The listed phone number is (401) 744-6447.

What is Michael Stern's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Michael Stern enrolled in Medicare?

Yes. Michael Stern is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Stern was last updated on February 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.