MRS. STEPHANIE VIDEAN CPNP-PC
NPI 1669800975
Nurse Practitioner - Pediatrics in Jackson, MI
About Mrs. Stephanie Videan Cpnp-pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. STEPHANIE VIDEAN CPNP-PC (NPI 1669800975) is an individual pediatrics provider in Jackson, Michigan, licensed in Michigan (4704261894) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Stephanie Videan Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stephanie Videan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jackson, MI 49201
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: W.A. Foote Memorial Hospital
- Also billed through NPI 1083971477 (Michigan)
- 62 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 49201 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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MI 49201
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 Videan's NPI number?
The NPI number for Stephanie Videan is 1669800975. It was assigned to this individual provider in the NPPES registry on October 23, 2013.
Where is Stephanie Videan located?
Stephanie Videan practices at 760 W Franklin St, Jackson, MI 49201. The listed phone number is (517) 780-9260.
What is Stephanie Videan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Stephanie Videan enrolled in Medicare?
Yes. Stephanie Videan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stephanie Videan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Videan reassigns Medicare benefits to Wa Foote Memorial Hospital Inc. (Jackson, MI). The 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 Stephanie Videan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stephanie Videan was last updated on October 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mrs. Stephanie Videan, CPNP-PC · NPI 1669800975
Pediatrics physician in Jackson, Michigan. Individual provider, active in the CMS NPPES registry since October 23, 2013.
## Identity
- **NPI:** 1669800975 (Entity type: Individual)
- **Enumerated:** October 23, 2013
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 4704261894 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 760 W FRANKLIN ST, Jackson, MI 49201-2048
- **Phone:** (517) 780-9260
## 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:** Wa Foote Memorial Hospital Inc. (NPI 1265806343, Jackson, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 23, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1669800975) · Data from the CMS NPPES public registry.