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DR. SHELIA RENEE STEPHENS M.D.
NPI 1699766030
Family Medicine in Algonac, MI

Active since November 03, 2005PECOS EnrolledAccepts Medicare Assignment
555 SAINT CLAIR RIVER DR, ALGONAC, MI 48001(810) 794-4982(810) 794-4407 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Shelia Renee Stephens M.d. NPPES

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

DR. SHELIA RENEE STEPHENS M.D. (NPI 1699766030) is an individual family medicine provider in Algonac, Michigan, licensed in Michigan (4301067070) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Meharry Medical College School Of Medicine (1995).

NPPES Registry Identity

NPI1699766030
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHELIA RENEE STEPHENSCredential: M.D.
Location Address555 SAINT CLAIR RIVER DRAlgonac, MI 48001-1802
Mailing Address555 Saint Clair River DrAlgonac, MI 48001-1802 · (810) 794-4982 · Fax (810) 794-4407
Phone(810) 794-4982
Fax(810) 794-4407
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 1995
Enumeration DateNovember 3, 2005
Last NPPES UpdateFebruary 1, 2023
NPPES CertifiedFebruary 1, 2023
✔ NPI 1699766030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301067070
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
555 SAINT CLAIR RIVER DR, Algonac, MI 48001
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Other Identifiers 1

Medicaid4578368MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shelia Renee Stephens M.d. 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 ID9830089994
PECOS Enrollment IDI20040319001273
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.

Medicare Billing Reassignment

Medicare enrollment records show Shelia Stephens reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Downriver Community Services, Inc.
Same address
Federally Qualified Health Center (FQHC)
555 SAINT CLAIR RIVER DR
Algonac, MI 48001
  • Reassigned Medicare billing, Michigan enrollment
  • 25 clinicians in this Medicare group
NPI 1851399570 (810) 794-4982

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
66 services26 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
65 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Mclaren Macomb

Acute Care Hospitals · Mount Clemens, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230227
Location1000 Harrington StMount Clemens, MI 48043 · Macomb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48001 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers19 claims19 services$3.10 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$66.68 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
4 suppliers13 claims3,816 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers11 claims11 services$23.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MS. MEI CHUN CHAN
Social Worker (Clinical)
555 SAINT CLAIR RIVER DR
ALGONAC, MI 48001
St. Clair County (810) 794-7548
DR. DAVID T. HINDY M.D.
Family Medicine
555 SAINT CLAIR RIVER DR
ALGONAC, MI 48001
St. Clair County (810) 794-4982
JASON R BORTNEM DO
Family Medicine
555 SAINT CLAIR RIVER DR
ALGONAC, MI 48001
St. Clair County (810) 794-4917
HALEIGH N GROOMES
Nurse Practitioner (Family)
555 SAINT CLAIR RIVER DR
ALGONAC, MI 48001
St. Clair County (810) 794-4917
KAREN MAGINN RN
Registered Nurse
555 SAINT CLAIR RIVER DR
ALGONAC, MI 48001
St. Clair County (810) 794-4982
SIDRA SINDHU DO
Family Medicine
555 SAINT CLAIR RIVER DR
ALGONAC, MI 48001
St. Clair County (810) 794-4917
DR. JULIA ANASTAZJA KRAKOWSKA M.D.
Family Medicine
555 SAINT CLAIR RIVER DR
ALGONAC, MI 48001
St. Clair County (810) 794-4917
MS. ADRIENNE LYNN EDER BA
Counselor (Mental Health)
555 SAINT CLAIR RIVER DR
ALGONAC, MI 48001
St. Clair County (810) 794-7548

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 Shelia Stephens's NPI number?

The NPI number for Shelia Stephens is 1699766030. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Shelia Stephens located?

Shelia Stephens practices at 555 Saint Clair River Dr, Algonac, MI 48001. The listed phone number is (810) 794-4982.

What is Shelia Stephens's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shelia Stephens enrolled in Medicare?

Yes. Shelia Stephens 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.

Which organization bills Medicare for Shelia Stephens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelia Stephens reassigns Medicare benefits to Downriver Community Services, Inc. (Algonac, 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 Shelia Stephens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelia Stephens accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Shelia Stephens 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 Shelia Stephens affiliated with any hospitals?

According to CMS data, Shelia Stephens is affiliated with Henry Ford Macomb Hospital and Mclaren Macomb.

When was this NPI record last updated?

The NPPES record for Shelia Stephens was last updated on February 1, 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.