MRS. STEPHANIE VIDEAN CPNP-PC
NPI 1669800975
Nurse Practitioner - Pediatrics in Jackson, MI

Q: 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.

Q: What is Stephanie Videan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: 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 12 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 October 23, 2013PECOS Enrolled

760 W FRANKLIN ST, JACKSON, MI 49201(517) 780-9260 Get Directions Write a Review

NPPES record last updated: October 23, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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

NPI1669800975

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. STEPHANIE VIDEANCredential: CPNP-PC

Location Address760 W FRANKLIN STJackson, MI 49201-2048

Mailing Address760 W Franklin StJackson, MI 49201-2048 · (517) 780-9260

Phone(517) 780-9260

Sole ProprietorNo

Enumeration DateOctober 23, 2013

✔ NPI 1669800975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MI · 4704261894

760 W FRANKLIN ST, Jackson, MI 49201

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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)

Mrs. Stephanie Videan Cpnp-pc 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.

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.

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

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

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 9

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

DR. JOHN S SCHUSTER M.D.

Pediatrics