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STEFANIE ANN STALLARD MD
NPI 1396308136
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since April 17, 2019PECOS Enrolled
1500 E MEDICAL CENTER DR, 1914 TAUBMAN CENTER, ANN ARBOR, MI 48109(734) 936-9020 Get Directions Write a Review

NPPES record last updated: June 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 10, 2021, Apr 17, 2019 (2 updates tracked since 2019).

About Stefanie Ann Stallard Md NPPES

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

STEFANIE ANN STALLARD MD (NPI 1396308136) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351044086) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396308136
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSTEFANIE ANN STALLARDCredential: MD
Location Address1500 E MEDICAL CENTER DR, 1914 TAUBMAN CENTERAnn Arbor, MI 48109-5316
Mailing Address1500 E Medical Center Dr, 1914 Taubman CenterAnn Arbor, MI 48109-5316
Phone(734) 936-9020
Sole ProprietorNo
Enumeration DateApril 17, 2019
Last NPPES UpdateJune 16, 20222 updates tracked since enumeration
NPPES CertifiedJune 16, 2022
✔ NPI 1396308136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4351044086
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109
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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)

Stefanie Ann Stallard Md 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.

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.

LOKMAN SUNG MD
Pathology (Forensic Pathology)
1500 E MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI 48109
Washtenaw County (800) 862-7284
SAMEER DEV SAINI M.D.
Internal Medicine (Gastroenterology)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
KYLE DAVID PERRY MD
Pathology (Cytopathology)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
DR. DAVID ALEXANDER STEWART M.D.
Pediatrics
1500 E MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL ROOM 525
ANN ARBOR, MI 48109
Washtenaw County (734) 763-5302
DR. MICHAEL EDMUND WATSON MD
Pediatrics (Pediatric Infectious Diseases)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
CARRIE KRAEGER PORTER PA-C
Physician Assistant
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-6666
DENISE LYNN BERRY CRNA
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
KETTI SOPHIA PETERSEN MD
Family Medicine (Hospice and Palliative Medicine)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000

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 Stefanie Stallard's NPI number?

The NPI number for Stefanie Stallard is 1396308136. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Where is Stefanie Stallard located?

Stefanie Stallard practices at 1500 E Medical Center Dr 1914 Taubman Center, Ann Arbor, MI 48109. The listed phone number is (734) 936-9020.

What is Stefanie Stallard's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Stefanie Stallard enrolled in Medicare?

Yes. Stefanie Stallard is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stefanie Stallard was last updated on June 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.