STEFANIE SLATE – Primary Care Nurse Practitioner, NPI 1558759852

STEFANIE SLATE is a healthcare provider. based in Rochester hills, Michigan. specializing in Primary Care Nurse Practitioner. They hold a License No. 4704262696 (MI). The NPI Number for STEFANIE SLATE is 1558759852

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
STEFANIE SLATE
NPI
1558759852
Phone
(248) 852-5177
Address
2502 S ROCHESTER RD
Enumeration Date
8 January 2015
Last Update Date
8 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5862211805
Graduation Year
2014 (12 years ago)
PAC ID
6901104025
Group Practice PAC ID
7012253537
Professional Enrollment ID
I20200805000193
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for STEFANIE SLATE

  • 2502 S ROCHESTER RD

    ROCHESTER HILLS, MI 483073817

    Phone: (248) 852-5177

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-08-05

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
I20200805000193INurse 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 48307)

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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: 7012253537View full group profile
NameSpecialtyState
Nurse PractitionerMI
Physician AssistantMI
Physician AssistantMI

Reviews

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Frequently asked questions

What identifier follows STEFANIE SLATE across health systems?
The NPI 1558759852 uniquely identifies STEFANIE SLATE in U.S. healthcare data.
Is STEFANIE SLATE's NPI status active today?
Active status means STEFANIE SLATE's NPI record is not deactivated in the public file.
What does the directory say STEFANIE SLATE does?
Insurance directories may phrase it differently, but here STEFANIE SLATE maps to Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to STEFANIE SLATE?
STEFANIE SLATE is associated with Rochester Hills, Michigan in the same public data insurers reference.
Who maintains STEFANIE SLATE's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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