STACEY VAN DIKE RN, AGACNP-BC
NPI 1437670262
Nurse Practitioner - Acute Care in Royal Oak, MI
About Stacey Van Dike Rn, Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY VAN DIKE RN, AGACNP-BC (NPI 1437670262) is an individual acute care provider in Royal Oak, Michigan, licensed in Michigan (2017011469) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Detroit.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stacey Van Dike Rn, Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Stacey Van Dike reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Royal Oak, MI 48073
- Reassigned Medicare billing, Michigan enrollment
- 1,030 clinicians in this Medicare group
Lathrup Village, MI 48076
- Reassigned Medicare billing, Michigan enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ROYAL OAK, MI 48073
ROYAL OAK, MI 48073
ROYAL OAK, MI 48073
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 Stacey Van Dike's NPI number?
The NPI number for Stacey Van Dike is 1437670262. It was assigned to this individual provider in the NPPES registry on July 1, 2017. The provider is also known as Stacey Sanders.
Where is Stacey Van Dike located?
Stacey Van Dike practices at 3601 W 13 Mile Rd, Royal Oak, MI 48073. The listed phone number is (248) 898-4021.
What is Stacey Van Dike's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Stacey Van Dike enrolled in Medicare?
Yes. Stacey Van Dike is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Stacey Van Dike's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Van Dike reassigns Medicare benefits to 2 organizations: Beaumont Medical Group- Specialty Services (Royal Oak, MI) and Muksi, LLC (Lathrup Village, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Van Dike's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacey Van Dike accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Stacey Van Dike 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.
When was this NPI record last updated?
The NPPES record for Stacey Van Dike was last updated on July 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Stacey Van Dike, RN, AGACNP-BC · NPI 1437670262
Acute Care physician in Royal Oak, Michigan. Individual provider, active in the CMS NPPES registry since July 1, 2017.
## Identity
- **NPI:** 1437670262 (Entity type: Individual)
- **Enumerated:** July 1, 2017
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 2017011469 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3601 W 13 MILE RD, Royal Oak, MI 48073
- **Phone:** (248) 898-4021
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Beaumont Medical Group- Specialty Services (NPI 1578072906, Royal Oak, MI); Muksi, LLC (NPI 1003084492, Lathrup Village, MI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1437670262) · Data from the CMS NPPES public registry.