STACEY LYN BARTELL (MD) – Family Medicine Physician, NPI 1669476933

STACEY LYN BARTELL (MD) is a healthcare provider. based in Southfield, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4301070166 (MI). The NPI Number for STACEY LYN BARTELL (MD) is 1669476933

Main info

Female
29 Years Of Experience
Name
STACEY LYN BARTELL (MD)
NPI
1669476933
Phone
(248) 849-4226
Address
15990 W 9 MILE RD
Enumeration Date
2 June 2005
Last Update Date
4 January 2018

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2483307098
Graduation Year
1997 (29 years ago)
PAC ID
7618003708
Professional Enrollment ID
I20100329000074
Address ID
MI481545434LI14700RDXX303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

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Provider Addresses for STACEY LYN BARTELL (MD)

  • West 9 Mile Road, Southfield, Oakland County, Michigan, 48336, United States

    STE 210

    SOUTHFIELD, MI 480754826

    Phone: (248) 849-4226

    Fax: (248) 849-4240

    Type: Mailing

  • Providence Medical Center - South Lyon, 210, North Lafayette Street, South Lyon, Oakland County, Michigan, 48178, United States

    SOUTH LYON, MI 481782048

    Phone: (248) 437-1744

    Fax: (248) 437-3245

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-08-31 • Largest payer in this snapshot: Boston Scientific Corporation ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-31

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: 2010-03-29

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
I20100329000074IFamily PracticeMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2213$0
View full utilization report →

Insurance plans in this area (ZIP 48075)

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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.

Frequently asked questions

Can I use this page to confirm STACEY LYN BARTELL (MD)'s NPI?
Yes. STACEY LYN BARTELL (MD) is listed with NPI 1669476933 in the public NPI dataset.
Can I rely on STACEY LYN BARTELL (MD) being an active provider?
As of the registry snapshot, STACEY LYN BARTELL (MD) is marked active.
What taxonomy line describes STACEY LYN BARTELL (MD)?
For research purposes, treat STACEY LYN BARTELL (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for STACEY LYN BARTELL (MD)?
STACEY LYN BARTELL (MD)'s geographic hint is Southfield, Michigan in our summary view.
Is the information about STACEY LYN BARTELL (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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