Stacy Bull, MD
NPI 1619071115 · Sports Medicine (Family Medicine) Physician · East Lansing, MI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stacy Bull, MD is a Sports Medicine (Family Medicine) Physician provider in East Lansing, MI (NPI 1619071115).
Provider details
- NPI number
- 1619071115
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 4301070974 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-13
- Last updated
- 2018-09-07
Frequently asked questions
- What is Stacy Bull's NPI number?
- Stacy Bull's National Provider Identifier (NPI) is 1619071115, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacy Bull's specialty?
- Stacy Bull is listed in the NPPES registry with a primary specialty of Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Stacy Bull located?
- Stacy Bull's practice location on file with NPPES is 463 E Circle Dr, East Lansing, MI 48824-7500.
- What is Stacy Bull's phone number?
- The practice phone number listed in the NPPES registry for Stacy Bull is (517) 884-6502.
- Does Stacy Bull accept Medicare?
- Stacy Bull is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stacy Bull's NPI active?
- Yes — Stacy Bull's NPI (1619071115) is active in the NPPES registry as of the last update on 2018-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.