STEPHANIE JENSEN PELARSKI
NPI 1073351540
Nurse Anesthetist, Certified Registered in Detroit, MI
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stephanie Jensen Pelarski is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stephanie Pelarski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Irving, TX 75038
- Reassigned Medicare billing, Michigan enrollment
- 905 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MIOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DETROIT, MI 48201
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.
Which organization bills Medicare for Stephanie Pelarski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Pelarski reassigns Medicare benefits to Northstar Anesthesia Of Michigan III PLLC (Irving, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Pelarski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 14 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.
# Stephanie Jensen Pelarski · NPI 1073351540
Nurse Anesthetist, Certified Registered physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since July 18, 2024.
## Identity
- **NPI:** 1073351540 (Entity type: Individual)
- **Enumerated:** July 18, 2024
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704329301 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 259 MACK AVE, Detroit, MI 48201-2427
- **Phone:** (734) 301-0529
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Northstar Anesthesia Of Michigan III PLLC (NPI 1972126209, Irving, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073351540) · Data from the CMS NPPES public registry.