STACY OCHSENRIDER NP NPI 1598096406

NPI Information

NPI: 1598096406
Provider Name: STACY OCHSENRIDER, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
601 JOHN ST
BOX 74
KALAMAZOO, MI
ZIP 49007
Phone: (269) 341-8855
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Stacy Ochsenrider, NP is an adult health nurse practitioner in Kalamazoo, MI with 15 years of experience. Stacy Ochsenrider, NP NPI is 1598096406. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

601 JOHN ST
BOX 74
KALAMAZOO, MI
ZIP 49007-341
Phone: (269) 341-8855
Fax: (269) 341-8743

The NPI 1598096406 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/18/2010 and was last updated on 6/4/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	4704186037	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1598096406	MEDICAID	MICHIGAN
2	1003822412	OTHER	MICHIGAN	BCBSM - BRONSON
3	N54580035 - BRONSON	MEDICARE PIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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