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

Individual provider Athletic Trainer · NPI 1407999824

Stefanie Lea Clutten, PA is a Physician Assistant in Lansing, Michigan. Qualified in 2009, 17 years ago. Practices with Edward W Sparrow Hospital Association, a 694-clinician group and accepts Medicare assignment.

Years since qualifying
17
In the registry since
2007
Specialties on file
2
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

2815 S Pennsylvania Ave Ste 204
Lansing, MI 48910-3496
Phone: (517) 267-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1407999824
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 15, 2007
Last updated in NPPESJanuary 22, 2020
Certification dateJanuary 22, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Edward W Sparrow Hospital Association — 694 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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