STACY L CONN NP
NPI 1780226613
Nurse Practitioner - Family in Richmond, MI
About Stacy L Conn Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY L CONN NP (NPI 1780226613) is an individual family provider in Richmond, Michigan, licensed in Michigan (4704305319) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Stacy L Conn Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Stacy Conn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Eastpointe, MI 48021
- Reassigned Medicare billing, Michigan enrollment
- 9 clinicians in this Medicare group
Eastpointe, MI 48021
- Reassigned Medicare billing, Michigan enrollment
- 5 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension St John Hospital
Acute Care Hospitals · Detroit, MIAscension Macomb Oakland Hosp-Warren Campus
Acute Care Hospitals · Warren, MIAscension River District Hospital
Acute Care Hospitals · East China, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Stacy Conn's NPI number?
The NPI number for Stacy Conn is 1780226613. It was assigned to this individual provider in the NPPES registry on October 11, 2019.
Where is Stacy Conn located?
Stacy Conn practices at 71320 Weeks Rd, Richmond, MI 48062. The listed phone number is (586) 405-1290.
What is Stacy Conn's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stacy Conn enrolled in Medicare?
Yes. Stacy Conn 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 organizations bill Medicare for Stacy Conn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Conn reassigns Medicare benefits to 2 organizations: Great Lakes Medical Group PC (Eastpointe, MI) and Great Lakes Urgent Care PC Of Eastside (Eastpointe, MI). Each 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 Stacy Conn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacy Conn accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Stacy Conn 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 Stacy Conn affiliated with any hospitals?
According to CMS data, Stacy Conn is affiliated with Ascension St John Hospital, Ascension Macomb Oakland Hosp-Warren Campus and Ascension River District Hospital.
When was this NPI record last updated?
The NPPES record for Stacy Conn was last updated on October 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Stacy L Conn, NP · NPI 1780226613
Family physician in Richmond, Michigan. Individual provider, active in the CMS NPPES registry since October 11, 2019.
## Identity
- **NPI:** 1780226613 (Entity type: Individual)
- **Enumerated:** October 11, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704305319 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 71320 WEEKS RD, Richmond, MI 48062-4933
- **Phone:** (586) 405-1290
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Great Lakes Medical Group PC (NPI 1053787853, Eastpointe, MI); Great Lakes Urgent Care PC Of Eastside (NPI 1477978930, Eastpointe, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 11, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1780226613) · Data from the CMS NPPES public registry.