MR. MICHAEL SEAN STEPHENS ANP
NPI 1861435869
Nurse Practitioner - Adult Health in Raleigh, NC

Q: What is Michael Stephens's NPI number?

The NPI number for Michael Stephens is 1861435869. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Q: What is Michael Stephens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Michael Stephens was last updated on January 21, 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.

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment

91.66/100

CMS Quality Rating

11200 GOVERNOR MANLY WAY STE 309, RALEIGH, NC 27614(919) 562-9410(919) 562-2948 Get Directions Write a Review

NPPES record last updated: January 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 21, 2019, Mar 17, 2018, Jan 17, 2018 and 1 more (4 updates tracked since 2016).

On this page

About Mr. Michael Sean Stephens Anp NPPES

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

MR. MICHAEL SEAN STEPHENS ANP (NPI 1861435869) is an individual adult health provider in Raleigh, North Carolina, licensed in North Carolina (5004332) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1861435869

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameMR. MICHAEL SEAN STEPHENSCredential: ANP

Location Address11200 GOVERNOR MANLY WAY STE 309Raleigh, NC 27614-7375

Mailing AddressPo Box 1107Wake Forest, NC 27588-1107 · (919) 562-9410 · Fax (919) 562-9425

Phone(919) 562-9410

Fax(919) 562-2948

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJune 14, 2006

Last NPPES UpdateJanuary 21, 20194 updates tracked since enumeration

✔ NPI 1861435869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NC · 5004332

11200 GOVERNOR MANLY WAY STE 309, Raleigh, NC 27614

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Secondary Practice Locations 3

Location 1200 W Parkview Dr Ste BHenderson, NC 27536-5958 · Phone (919) 562-9410 · Fax (919) 562-2948

Location 26602 Knightdale Blvd Ste 310Knightdale, NC 27545-6526 · Phone (919) 562-9410 · Fax (919) 562-2948

Location 3103 Professional Park Ste AOxford, NC 27565-2581 · Phone (919) 562-9410 · Fax (919) 562-2948

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Michael Sean Stephens Anp 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 ID840293601

PECOS Enrollment IDI20090416000743

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.

Areas of Expertise CMS Part B claims 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

1,101 services240 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

216 services146 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

188 services23 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

186 services24 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

48 services24 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

32 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27614 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

91.66/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

67.44

Promoting Interoperability

100

Improvement Activities

Cost

92.53

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

30%23 patients2/55-star benchmark: 87%

Controlling High Blood Pressure

17%76 patients1/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

90%51 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

98%6,693 patients4/55-star benchmark: 100%

e-Prescribing

100%2,363 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

80%533 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

28%1,236 patients2/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 88% · 1,197 patients

Patients screened: 91% · 1,197 patients

87%283 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

78%1,071 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

86%86 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 567 patients

Patients totalRate: 16% · 570 patients

15%570 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MADELEINE REBECCA DINGLASAN PA-C

Physician Assistant