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QUIANA LYNELL STEPHENS-MACK MSN CPNP
NPI 1770832966
Nurse Practitioner - Pediatrics in Detroit, MI

Active since September 04, 2012PECOS Enrolled
12800 KELLY RD, DETROIT, MI 48224(313) 372-3319 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 10, 2025, Feb 12, 2019 (2 updates tracked since 2019).

About Quiana Lynell Stephens-mack Msn Cpnp NPPES

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

QUIANA LYNELL STEPHENS-MACK MSN CPNP (NPI 1770832966) is an individual pediatrics provider in Detroit, Michigan, licensed in Michigan (4704245159) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1770832966
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameQUIANA LYNELL STEPHENS-MACKCredential: MSN CPNP
Location Address12800 KELLY RDDetroit, MI 48224-1506
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806
Phone(313) 372-3319
Sole ProprietorNo
Enumeration DateSeptember 4, 2012
Last NPPES UpdateDecember 10, 20252 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
✔ NPI 1770832966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MI · 4704245159
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704245159 (MI)
12800 KELLY RD, Detroit, MI 48224
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Secondary Practice Location 1

Location 112800 Kelly Rd, St John Health Center, rm 102bDetroit, MI 48224-1506 · Phone (313) 372-3826 ext. 102 · Fax (313) 372-3990

Other Identifiers 2

Medicaid1164553099MI
Other5008721450MI · Bc Ind Pin

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Quiana Lynell Stephens-mack Msn Cpnp 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 48224 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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

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

DELILAH SMITH LPC
Counselor (Professional)
12800 KELLY RD
DETROIT, MI 48224
Wayne County (313) 372-3826

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 Quiana Stephens-mack's NPI number?

The NPI number for Quiana Stephens-mack is 1770832966. It was assigned to this individual provider in the NPPES registry on September 4, 2012.

Where is Quiana Stephens-mack located?

Quiana Stephens-mack practices at 12800 Kelly Rd, Detroit, MI 48224. The listed phone number is (313) 372-3319.

What is Quiana Stephens-mack's specialty?

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

Is Quiana Stephens-mack enrolled in Medicare?

Yes. Quiana Stephens-mack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Quiana Stephens-mack was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.