QUIANA LYNELL STEPHENS-MACK MSN CPNP
NPI 1770832966
Nurse Practitioner - Pediatrics in Detroit, MI
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
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
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)
Quiana Lynell Stephens-mack Msn Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Quiana Stephens-mack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Detroit, MI 48212
- Reassigned Medicare billing, Michigan enrollment
- 37 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 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Quiana Stephens-mack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Quiana Stephens-mack reassigns Medicare benefits to Henry Ford Health System-School Based Health Initiative (Detroit, 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 Quiana Stephens-mack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Quiana Stephens-mack 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 list Quiana Stephens-mack 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 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 10 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.
# Quiana Lynell Stephens-Mack, MSN CPNP · NPI 1770832966
Pediatrics physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since September 4, 2012.
## Identity
- **NPI:** 1770832966 (Entity type: Individual)
- **Enumerated:** September 4, 2012
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 4704245159 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 12800 KELLY RD, Detroit, MI 48224-1506
- **Phone:** (313) 372-3319
## 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:** Henry Ford Health System-School Based Health Initiative (NPI 1104010578, Detroit, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 10, 2025
- **Other identifiers:** Medicaid 1164553099 (MI); Other 5008721450 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1770832966) · Data from the CMS NPPES public registry.