Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacy N Slade, PA

Individual provider Physician Assistant · NPI 1265459267

Stacy N Slade, PA is a Physician Assistant in Traverse City, Michigan. Qualified in 2004, 22 years ago. Practices with Associates in Dermatology of Traverse City PC, a 6-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
22
Licensed in
MI
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1225 W Frnt ST
Traverse City, MI 49684-2368
Phone: (231) 935-0788
Fax: (231) 935-0787
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601004319 (MI)

Record details

NPI number1265459267
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 16, 2006
Last updated in NPPESSeptember 1, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Associates In Dermatology Of Traverse City Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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