STACEY CORSON NP
NPI 1265945562
Nurse Practitioner in Grand Rapids, MI

Q: What is Stacey Corson's NPI number?

The NPI number for Stacey Corson is 1265945562. It was assigned to this individual provider in the NPPES registry on November 8, 2017.

Q: What is Stacey Corson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Corson was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 08, 2017

100/100

CMS Quality Rating

221 MICHIGAN ST NE STE 300, GRAND RAPIDS, MI 49503(616) 459-7258 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2023, Mar 9, 2022, Feb 24, 2021 and 1 more (4 updates tracked since 2017).

On this page

About Stacey Corson Np NPPES

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

STACEY CORSON NP (NPI 1265945562) is an individual nurse practitioner in Grand Rapids, Michigan, licensed in Michigan (4704288248) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1265945562

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSTACEY CORSONCredential: NP

Location Address221 MICHIGAN ST NE STE 300Grand Rapids, MI 49503-2537

Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560

Phone(616) 459-7258

Sole ProprietorNo

Enumeration DateNovember 8, 2017

Last NPPES UpdateAugust 28, 20234 updates tracked since enumeration

NPPES CertifiedAugust 28, 2023

✔ NPI 1265945562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704288248

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

221 MICHIGAN ST NE STE 300, Grand Rapids, MI 49503

Open in Google Maps ↗

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.54

Promoting Interoperability

100

Improvement Activities

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.

BRYAN D ANDERSON PAC

Physician Assistant (Surgical)