STACY CHRISTINE GOLDTHORPE
NPI 1851952709
Student in an Organized Health Care Education/Training Program in Petoskey, MI

Active since June 21, 2019PECOS EnrolledAccepts Medicare Assignment
416 CONNABLE AVE, PETOSKEY, MI 49770(231) 348-2795(231) 348-2031 Get Directions Write a Review

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

Record update history: Jun 1, 2026, Jun 21, 2019 (2 updates tracked since 2019).

About Stacy Christine Goldthorpe NPPES

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

STACY CHRISTINE GOLDTHORPE (NPI 1851952709) is an individual student in an organized health care education/training program in Petoskey, Michigan and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Mclaren Northern Michigan, and is a graduate of Central Michigan College Of Medicine (2020).

NPPES Registry Identity

NPI1851952709
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSTACY CHRISTINE GOLDTHORPE
Location Address416 CONNABLE AVEPetoskey, MI 49770-2212
Mailing Address602 Jackson StPetoskey, MI 49770-2220 · (231) 348-2795 · Fax (231) 348-2031
Fax(231) 348-2031
Sole ProprietorNo
Medical School CMSCentral Michigan College Of MedicineGraduated 2020
Enumeration DateJune 21, 2019
Last NPPES UpdateJune 1, 20262 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1851952709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
416 CONNABLE AVE, Petoskey, MI 49770

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 Christine Goldthorpe 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 ID5193106441
PECOS Enrollment IDI20260615000528
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 Stacy Goldthorpe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesiology
602 JACKSON ST
Petoskey, MI 49770
  • Reassigned Medicare billing, Michigan enrollment
  • 19 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.

Hospital Affiliations CMS Care Compare

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

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230105
Location416 Connable AvePetoskey, MI 49770 · Emmet County
Emergency services Birthing friendly

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.

Nurse Practitioner
416 CONNABLE AVE
PETOSKEY, MI 49770
Internal Medicine (Nephrology)
416 CONNABLE AVE
PETOSKEY, MI 49770
Radiology (Radiation Oncology)
416 CONNABLE AVE
PETOSKEY, MI 49770
Internal Medicine
416 CONNABLE AVE
PETOSKEY, MI 49770
Psychiatric Unit
416 CONNABLE AVE
PETOSKEY, MI 49770
Radiology Practitioner Assistant
416 CONNABLE AVE
PETOSKEY, MI 49770
Pathology (Anatomic Pathology & Clinical Pathology)
416 CONNABLE AVE
PETOSKEY, MI 49770
Anesthesiology
416 CONNABLE AVE
PETOSKEY, MI 49770

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 Goldthorpe's NPI number?

The NPI number for Stacy Goldthorpe is 1851952709. It was assigned to this individual provider in the NPPES registry on June 21, 2019.

Where is Stacy Goldthorpe located?

Stacy Goldthorpe practices at 416 Connable Ave, Petoskey, MI 49770. The listed phone number is (231) 348-2795.

What is Stacy Goldthorpe's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Stacy Goldthorpe enrolled in Medicare?

Yes. Stacy Goldthorpe 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 Stacy Goldthorpe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Goldthorpe reassigns Medicare benefits to Northern Anesthesia Providers PC (Petoskey, 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 Stacy Goldthorpe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Stacy Goldthorpe affiliated with any hospitals?

According to CMS data, Stacy Goldthorpe is affiliated with Mclaren Northern Michigan.

When was this NPI record last updated?

The NPPES record for Stacy Goldthorpe was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.