ELIZABETH M STOB (NP) – Nurse Practitioner, NPI 1356621783
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for ELIZABETH M STOB (NP)
6105 Wilson Ave SW
Suite 204
Grandville, MI 494189714
Phone: (616) 486-5421
Fax: (616) 486-5051
Type: Location
100 MICHIGAN ST NE
MC 845
GRAND RAPIDS, MI 495032560
Phone:
Type: Mailing
6105 WILSON AVE SW
SUITE 204
GRANDVILLE, MI 494189714
Phone: (616) 486-5421
Fax: (616) 486-5051
Type: Location
PO BOX 746723
ATLANTA, GA 303746723
Phone: (312) 733-9730
Fax: (773) 866-8014
Type: Mailing
1000 28TH ST SW
WYOMING, MI 495092881
Phone: (616) 655-7024
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $161.
Total Amount is formed as General ($161) + Research ($0) + Ownership ($0) = $161.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novo Nordisk Inc ($139).
Total Amount
$161
General + Research + Ownership
Payments
10
Total payment records
General Amount
$161
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $139 |
| Exact Sciences Corporation | $23 |
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: 2011-10-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111017000605 | I | Nurse Practitioner | MI | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 80 | 32 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 48 | 48 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 24 | 24 | $0 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 17 | 17 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 15 | 15 | $0 |
Insurance plans in this area (ZIP 49418)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| Nurse Practitioner | GA | |
| - | IL | |
| Family Practice | WA | |
| Clinical Social Worker | MI | |
| - | IL | |
| Family Practice | IL | |
| Family Practice | TN | |
| Internal Medicine | NC | |
| Nurse Practitioner | GA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.