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STEPHANIE JENSEN PELARSKI
NPI 1073351540
Nurse Anesthetist, Certified Registered in Detroit, MI

Active since July 18, 2024
259 MACK AVE, DETROIT, MI 48201(734) 301-0529 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Jensen Pelarski NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE JENSEN PELARSKI (NPI 1073351540) is an individual nurse anesthetist, certified registered in Detroit, Michigan, licensed in Michigan (4704329301) and active in the NPI registry since July 2024. She is affiliated with Beaumont Hospital Royal Oak and is a graduate of Other (2024).

NPPES Registry Identity

NPI1073351540
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSTEPHANIE JENSEN PELARSKI
Location Address259 MACK AVEDetroit, MI 48201-2427
Mailing Address259 Mack AveDetroit, MI 48201-2427 · (313) 577-1716
Phone(734) 301-0529
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 18, 2024
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1073351540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MI · 4704329301
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704329301 (MI)
259 MACK AVE, Detroit, MI 48201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Jensen Pelarski is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597298091
PECOS Enrollment IDI20241022005068

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNABEL SHAMMAMI
Physician Assistant
259 MACK AVE
DETROIT, MI 48201
Wayne County (313) 577-1716
NAMI O EDWARDS CRNA
Nurse Anesthetist, Certified Registered
259 MACK AVE
DETROIT, MI 48201
Wayne County (313) 577-7689
WESLEY CHIU
Pharmacist
259 MACK AVE
DETROIT, MI 48201
Wayne County (313) 577-1716
ESMERALDA LOPEZ
Student in an Organized Health Care Education/Training Program
259 MACK AVE
DETROIT, MI 48201
Wayne County (313) 577-1368
AQUANDRALYN BAJRIC
Registered Nurse
259 MACK AVE
DETROIT, MI 48201
Wayne County (616) 272-0659
SARA HOUSTINA PA
Physician Assistant
259 MACK AVE
DETROIT, MI 48201
Wayne County (313) 577-1716
DR. KENYETTA NICOLE NESBITT PHARM.D.
Pharmacist (Pharmacotherapy)
259 MACK AVE, EACPHS SUITE 2190
DETROIT, MI 48201
Wayne County (313) 993-7465
TAYLOR BAHOORA
Physician Assistant
259 MACK AVE
DETROIT, MI 48201
Wayne County (171) 631-3577

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Pelarski's NPI number?

The NPI number for Stephanie Pelarski is 1073351540. It was assigned to this individual provider in the NPPES registry on July 18, 2024.

Where is Stephanie Pelarski located?

Stephanie Pelarski practices at 259 Mack Ave, Detroit, MI 48201. The listed phone number is (734) 301-0529.

What is Stephanie Pelarski's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Stephanie Pelarski enrolled in Medicare?

Yes. Stephanie Pelarski is registered in the Medicare PECOS enrollment system.

What insurance does Stephanie Pelarski accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Stephanie Pelarski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stephanie Pelarski affiliated with any hospitals?

According to CMS data, Stephanie Pelarski is affiliated with Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Stephanie Pelarski was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.