STACY L CONN (NP) – Family Nurse Practitioner, NPI 1780226613

STACY L CONN (NP) is a healthcare provider. based in Richmond, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704305319 (MI). The NPI Number for STACY L CONN (NP) is 1780226613

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
STACY L CONN (NP)
NPI
1780226613
Phone
(586) 405-1290
Address
71320 WEEKS RD
Enumeration Date
11 October 2019
Last Update Date
11 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5867731383
Graduation Year
2019 (7 years ago)
PAC ID
7911321518
Group Practice PAC ID
7810120235
Professional Enrollment ID
I20201028002946
Address ID
MI480211449EA19070RDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for STACY L CONN (NP)

  • 71320, Weeks Road, Richmond Township, Macomb County, Michigan, 48062, United States

    RICHMOND, MI 480624933

    Phone: (586) 405-1290

    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: 2020-10-28

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
I20201028002946INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes414156$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes31949$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10540$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes10527$0
99239Hospital discharge day management, more than 30 minutes8675$0
View full utilization report →

Insurance plans in this area (ZIP 48062)

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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: 7810120235View full group profile
NameSpecialtyState
Nurse PractitionerMI
Internal MedicineMI

Reviews

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Frequently asked questions

Is STACY L CONN (NP) listed with a National Provider Identifier?
Yes — STACY L CONN (NP) has NPI 1780226613 on file in the registry.
Would STACY L CONN (NP) appear as active to a payer?
You can treat STACY L CONN (NP) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe STACY L CONN (NP)'s focus?
For STACY L CONN (NP), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is STACY L CONN (NP) located near Richmond?
STACY L CONN (NP) currently maps to Richmond, Michigan in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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