Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacey Brooke Cantor, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1962837518

Stacey Brooke Cantor, FNP-BC is a Nurse Practitioner in Royal Oak, Michigan. Graduated from University of Michigan Medical School in 2013, 13 years ago. Practices with Powerback Rehabilitation LLC, a 616-clinician group and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
13
Trained at
University of Michigan Medical School
Licensed in
MI, OH
In the registry since
2013
Specialties on file
3
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

5150 Coolidge Hwy
Royal Oak, MI 48073-1001
Phone: (248) 655-3227
Fax: (248) 655-3237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704279344 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence COA.14865-NP (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704279344 (MI)

Record details

NPI number1962837518
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedSeptember 13, 2013
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2013 (13 years in practice)
Group practice Powerback Rehabilitation Llc — 616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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