HALEY CARISSA STOWE (FNP) – Nurse Practitioner, NPI 1174168892

HALEY CARISSA STOWE (FNP) is a healthcare provider. based in Flint, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 4704350735 (MI). The NPI Number for HALEY CARISSA STOWE (FNP) is 1174168892

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
HALEY CARISSA STOWE (FNP)
NPI
1174168892
Phone
(810) 762-3300
Address
303 E KEARSLEY ST
Enumeration Date
18 November 2019
Last Update Date
11 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8104551600
Graduation Year
2020 (6 years ago)
PAC ID
6709284870
Group Practice PAC ID
7012976590
Professional Enrollment ID
I20211005001235
Address ID
MI480593526FO2950XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:6State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for HALEY CARISSA STOWE (FNP)

  • 303 E KEARSLEY ST

    FLINT, MI 485021907

    Phone: (810) 762-3300

    Type: Location

  • 1481 S CENTER RD STE B

    BURTON, MI 485091779

    Phone: (810) 820-8706

    Type: Location

  • 1192 W BRISTOL RD

    FLINT, MI 485075518

    Phone: (810) 535-5530

    Type: Location

  • 3048 GEHRING DR

    FLINT, MI 485062262

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 67 Open Payments records for all available years, with a total value of $1,527.

Total Amount is formed as General ($1,527) + Research ($0) + Ownership ($0) = $1,527.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($413).

Total Amount

$1,527

General + Research + Ownership

Payments

67

Total payment records

General Amount

$1,527

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-10-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211005001235INurse PractitionerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48502)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012976590View full group profile
NameSpecialtyState
Physician AssistantMI
D E R M A T O L O G YMD
Physician AssistantMI
D E R M A T O L O G YMI
D E R M A T O L O G YMI
-MI
D E R M A T O L O G YMI
-MI
-MI
D E R M A T O L O G YMI

Reviews

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Frequently asked questions

What is the registry number for HALEY CARISSA STOWE (FNP)?
The registry entry for HALEY CARISSA STOWE (FNP) shows NPI 1174168892.
Is HALEY CARISSA STOWE (FNP) currently accepting referrals based on NPI status?
Registry metadata lists HALEY CARISSA STOWE (FNP) as active.
What type of care does HALEY CARISSA STOWE (FNP) provide?
HALEY CARISSA STOWE (FNP)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to HALEY CARISSA STOWE (FNP)?
The directory associates HALEY CARISSA STOWE (FNP) with Flint, Michigan. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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