Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245518521 Individual Practitioner Female Practitioner

Dr. Stephanie Marie Nelson , DO

Pediatrics • Marquette, MI

Professional Overview & Biography Verified Profile Summary

Dr. Stephanie Nelson, DO is a registered healthcare professional specializing in Pediatrics in Marquette, MI. Practice services are available at 1414 W FAIR AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1414 W Fair Ave
Suite 226

Marquette, MI 498552675

Telephone 9062253925
Fax 9062254838
Associated Practice Facility / Clinic
🏢 Peninsula Pharmacy Inc Facility NPI 1003807413

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Marquette, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
6 Specialists

Practicing in Marquette, MI (2263 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-10
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 5101019369

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1245518521 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Edith Weatherford , CPNP

Nurse Practitioner - Pediatrics

NPI 1063404804

Certified Pediatric Nurse Practitioner

Ann Skewis , FNP-BC

Nurse Practitioner - Family

NPI 1104280734

Family Nurse Practitioner (Board Certified)

Shannon Dennis , NP

Nurse Practitioner - Family

NPI 1134601685

Nurse Practitioner

NPI 1336131556

Doctor of Medicine (M.D.)

NPI 1548293756

Doctor of Medicine (M.D.)

NPI 1932669934

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated June 10, 2021

Recorded as STEPHANIE NELSON, DO

👤
Provider Name / Credentials Updated May 17, 2019

Recorded as STEPHANIE HUMPULA-MCMAHON, DO

NPI Profile Active October 06, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 06, 2014

Registered at 1414 W FAIR AVE, SUITE 226, MARQUETTE, MI 498552675 (Tel: 9062253925)

📍
Updated Business Mailing Address October 06, 2014

Registered at 26374 NETWORK PL, CHICAGO, IL 606731263 (Tel: 9062253630)

👤
Provider Name / Credentials Updated October 06, 2014

Recorded as STEPHANIE HUMPULA, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2014

Pediatrics (License #5101019369 in MI)

🟢
Initial NPI Registration & Enumeration August 03, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245518521
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2011
Last Update: June 10, 2021
Sole Proprietor: No

Mailing Address

26374 Network Pl

Chicago, IL 606731263

Phone: 9062253630

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.