STACEY BROOKE CANTOR FNP-BC
NPI 1962837518
Nurse Practitioner - Family in Royal Oak, MI

Q: What is Stacey Cantor's NPI number?

The NPI number for Stacey Cantor is 1962837518. It was assigned to this individual provider in the NPPES registry on September 13, 2013. The provider is also known as Stacey Brooke Victor.

Q: What is Stacey Cantor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Cantor was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 13, 2013PECOS EnrolledAccepts Medicare Assignment

5150 COOLIDGE HWY, ROYAL OAK, MI 48073(248) 655-3227(248) 655-3237 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2016, Dec 14, 2015 (2 updates tracked since 2015).

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About Stacey Brooke Cantor Fnp-bc NPPES

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

STACEY BROOKE CANTOR FNP-BC (NPI 1962837518) is an individual family provider in Royal Oak, Michigan, licensed in Michigan (4704279344) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (2013).

NPPES Registry Identity

NPI1962837518

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTACEY BROOKE CANTORCredential: FNP-BC

Location Address5150 COOLIDGE HWYRoyal Oak, MI 48073-1001

Mailing Address130 Town Center Dr, 203Troy, MI 48084-1744 · (248) 655-3227 · Fax (248) 655-3237

Phone(248) 655-3227

Fax(248) 655-3237

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2013

Enumeration DateSeptember 13, 2013

Last NPPES UpdateMarch 19, 20242 updates tracked since enumeration

NPPES CertifiedMarch 19, 2024

✔ NPI 1962837518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in MI · 4704279344✔ Licensed in OH · COA.14865-NP

Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704279344 (MI)

5150 COOLIDGE HWY, Royal Oak, MI 48073

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Other Names 1

Former Name (1)Stacey Brooke Victor

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.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

Stacey Brooke Cantor Fnp-bc 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 ID9830323203

PECOS Enrollment IDI20161110000962

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

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.

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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 9

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

JACLYN BISHJA PHARMD

Pharmacist (Pharmacotherapy)