STEPHEN GLEN MARKHAM (RN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1790377331

STEPHEN GLEN MARKHAM (RN) is a healthcare provider. based in Adrian, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. 4704326909 (MI). The NPI Number for STEPHEN GLEN MARKHAM (RN) is 1790377331

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN GLEN MARKHAM (RN)
NPI
1790377331
Phone
(517) 263-1800
Address
1200 N MAIN ST
Enumeration Date
5 February 2021
Last Update Date
4 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7345486099
Graduation Year
2021 (5 years ago)
PAC ID
3072974377
Group Practice PAC ID
1254741283
Professional Enrollment ID
I20230803000204
Address ID
MI481081187AN2755XRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for STEPHEN GLEN MARKHAM (RN)

  • 1200 N MAIN ST

    ADRIAN, MI 492211759

    Phone: (517) 263-1800

    Type: Location

  • 51350 Ford Rd

    Canton, MI 481874638

    Phone: (734) 560-6765

    Type: Location

  • 51350 FORD RD

    CANTON, MI 481874638

    Phone: (734) 560-6765

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 142 Open Payments records for all available years, with a total value of $3,940.

Total Amount is formed as General ($3,940) + Research ($0) + Ownership ($0) = $3,940.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($2,059).

Total Amount

$3,940

General + Research + Ownership

Payments

142

Total payment records

General Amount

$3,940

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

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: 2023-08-03

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
I20230803000204INurse 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 49221)

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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: 1254741283View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerOH
Clinical Social WorkerMI
Nurse PractitionerMI
Clinical Social WorkerMI
Physician AssistantMI
Clinical Social WorkerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Does STEPHEN GLEN MARKHAM (RN) have a public NPI I can cite?
Public records show STEPHEN GLEN MARKHAM (RN) under NPI 1790377331.
Is STEPHEN GLEN MARKHAM (RN) currently accepting referrals based on NPI status?
Registry metadata lists STEPHEN GLEN MARKHAM (RN) as active.
Which specialty label fits STEPHEN GLEN MARKHAM (RN)?
NPPES ties STEPHEN GLEN MARKHAM (RN) to Psychiatric/Mental Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to STEPHEN GLEN MARKHAM (RN)?
STEPHEN GLEN MARKHAM (RN) is associated with Adrian, Michigan in the same public data insurers reference.
Why is information missing for STEPHEN GLEN MARKHAM (RN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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