STACEY BROOKE CANTOR FNP-BC NPI 1962837518

NPI Information

  • NPI: 1962837518
  • Provider Name: STACEY BROOKE CANTOR, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5150 COOLIDGE HWY
    ROYAL OAK, MI
    ZIP 48073
  • Phone: (248) 655-3227

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NPI Details

Stacey Brooke Cantor, FNP-BC is a family nurse practitioner in Royal Oak, MI with 13 years of experience. Stacey Brooke Cantor, FNP-BC NPI is 1962837518. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:2013

The provider's business location address is:

5150 COOLIDGE HWY
ROYAL OAK, MI
ZIP 48073-001
Phone: (248) 655-3227
Fax: (248) 655-3237

The NPI 1962837518 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes (HCPCS:99334)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Established patient home visit, typically 25 minutes (HCPCS:99348)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • New patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99327)

The enumeration date for this NPI number is 9/13/2013 and was last updated on 3/19/2024.

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
1363LF0000XNurse PractitionerFamilyCOA.14865-NPOHIONo
2363LF0000XNurse PractitionerFamily4704279344MICHIGANYes
3363L00000XNurse Practitioner4704279344MICHIGANNo

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: 11/21/2025

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