Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Stephanie Ann Macconnel, PA-C

Individual provider Physician Assistant · NPI 1407281496

Mrs. Stephanie Ann Macconnel, PA-C is a Physician Assistant in Traverse City, Michigan. Qualified in 2013, 13 years ago. Practices with Munson Medical Center, a 377-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
13
Licensed in
MI
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1105 Sixth St
Traverse City, MI 49684
Phone: (231) 392-0630
Fax: (231) 935-5885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1105 Sixth St, Traverse City, MI 49684-2345 — (231) 935-6394

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601006787 (MI)

Record details

NPI number1407281496
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 9, 2013
Last updated in NPPESFebruary 21, 2025
Certification dateJanuary 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Munson Medical Center — 377 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Traverse City