MRS. STEPHANIE ANN MACCONNEL PA-C
NPI 1407281496
Physician Assistant in Traverse City, MI

Active since September 09, 2013PECOS EnrolledAccepts Medicare Assignment
1105 SIXTH STREET, TRAVERSE CITY, MI 49684(231) 392-0630(231) 935-5885 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 21, 2025, Jan 6, 2025, Dec 31, 2024 and 4 more (7 updates tracked since 2021).

About Mrs. Stephanie Ann Macconnel Pa-c NPPES

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

MRS. STEPHANIE ANN MACCONNEL PA-C (NPI 1407281496) is an individual physician assistant in Traverse City, Michigan, licensed in Michigan (5601006787) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and maintains a secondary practice location in Traverse City.

NPPES Registry Identity

NPI1407281496
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. STEPHANIE ANN MACCONNELCredential: PA-C
Location Address1105 SIXTH STREETTraverse City, MI 49684
Mailing Address291 Eden StreetKingsley, MI 49649 · (734) 320-4417 · Fax (231) 392-2424
Fax(231) 935-5885
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 9, 2013
Last NPPES UpdateFebruary 21, 20257 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
NPI 1407281496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601006787
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1105 SIXTH STREET, Traverse City, MI 49684

Other Names 1

Former Name (1)Ms. Stephanie Ann Stuck Pa-c

Secondary Practice Location 1

Location 11105 Sixth StTraverse City, MI 49684-2345 · Phone (231) 935-6394

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

Mrs. Stephanie Ann Macconnel Pa-c 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 ID9335376953
PECOS Enrollment IDI20131205001008
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.

Hospital Affiliations CMS Care Compare

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

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

Radiology (Radiation Oncology)
1105 SIXTH STREET
TRAVERSE CITY, MI 49684
Radiology (Diagnostic Radiology)
1105 SIXTH STREET, SUITE#100
49684 TRAVERSE CITY, MI (GRAND TRAVERSE), MI 49684
Counselor (Professional)
1105 SIXTH STREET, MUNSON BEHAVIORAL HEALTH SERVICES
TRAVERSE CITY, MI 49684
Pharmacist
1105 SIXTH STREET
TRAVERSE CITY, MI 49684
Counselor
1105 SIXTH STREET, MUNSON MEDICAL CENTER
TRAVERSE CITY, MI 49684

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 Stephanie Macconnel's NPI number?

The NPI number for Stephanie Macconnel is 1407281496. It was assigned to this individual provider in the NPPES registry on September 9, 2013. The provider is also known as Ms. Stephanie Ann Stuck Pa-C.

Where is Stephanie Macconnel located?

Stephanie Macconnel practices at 1105 Sixth Street, Traverse City, MI 49684. The listed phone number is (231) 392-0630.

What is Stephanie Macconnel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Stephanie Macconnel enrolled in Medicare?

Yes. Stephanie Macconnel 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 Stephanie Macconnel accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Stephanie Macconnel 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 Stephanie Macconnel affiliated with any hospitals?

According to CMS data, Stephanie Macconnel is affiliated with Munson Medical Center.

When was this NPI record last updated?

The NPPES record for Stephanie Macconnel was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.