JACLYN M STOCKOSKI CRNA
NPI 1093019747
Nurse Anesthetist, Certified Registered in Royal Oak, MI

Active since January 10, 2011Accepts Medicare Assignment
86.01/100
CMS Quality Rating
3601 W 13 MILE RD, ROYAL OAK, MI 48073(248) 898-7784 Get Directions Write a Review

NPPES record last updated: February 9, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jaclyn M Stockoski Crna NPPES

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

JACLYN M STOCKOSKI CRNA (NPI 1093019747) is an individual nurse anesthetist, certified registered in Royal Oak, Michigan, licensed in Michigan (4704253212) and active in the NPI registry since January 2011. She is a graduate of Other (2010).

NPPES Registry Identity

NPI1093019747
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameJACLYN M STOCKOSKICredential: CRNA
Location Address3601 W 13 MILE RDRoyal Oak, MI 48073-6712
Mailing Address130 Town Center Dr Ste 203, Beaumont Physician Partners Payor EnrollmentTroy, MI 48084-1744
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 10, 2011
Last NPPES UpdateFebruary 9, 2017
✔ NPI 1093019747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MI · 4704253212
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.
3601 W 13 MILE RD, Royal Oak, MI 48073

Other Names 1

Former Name (1)Jaclyn M Matesowicz Crna

Other Identifiers 3

Other430F364420MI · Bcbsm
Medicaid1093019747MI
Medicare PIN0F36442460MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaclyn M Stockoski Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931380276
PECOS Enrollment IDI20110221000382

Medicare Billing Reassignments

5

Medicare enrollment records show Jaclyn Stockoski reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
3601 W 13 MILE RD
Royal Oak, MI 48073
  • Reassigned Medicare billing, Michigan enrollment
  • 278 clinicians in this Medicare group
Anesthesiology
1144 BROOKWOOD ST
Birmingham, MI 48009
  • Reassigned Medicare billing, Michigan enrollment
  • 29 clinicians in this Medicare group
Specialist
4550 INVESTMENT DR, SUITE 100
Troy, MI 48098
  • Reassigned Medicare billing, Michigan enrollment
  • 176 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1101 W UNIVERSITY DR
Rochester, MI 48307
  • Reassigned Medicare billing, Michigan enrollment
  • 359 clinicians in this Medicare group
Pain Medicine
6225 N STATE HIGHWAY 161 STE 200
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
27 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.29
Improvement Activities40

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.

Emergency Medicine
3601 W 13 MILE RD, WILLIAM BEAUMONT HOSPITAL
ROYAL OAK, MI 48073
Physician Assistant
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Pathology (Anatomic Pathology & Clinical Pathology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Radiology (Diagnostic Radiology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Internal Medicine
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Internal Medicine (Gastroenterology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Surgery
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Pediatrics
3601 W 13 MILE RD
ROYAL OAK, MI 48073

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 Jaclyn Stockoski's NPI number?

The NPI number for Jaclyn Stockoski is 1093019747. It was assigned to this individual provider in the NPPES registry on January 10, 2011. The provider is also known as Jaclyn M Matesowicz Crna.

Where is Jaclyn Stockoski located?

Jaclyn Stockoski practices at 3601 W 13 Mile Rd, Royal Oak, MI 48073. The listed phone number is (248) 898-7784.

What is Jaclyn Stockoski's specialty?

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

Is Jaclyn Stockoski enrolled in Medicare?

Yes. Jaclyn Stockoski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jaclyn Stockoski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Stockoski reassigns Medicare benefits to 5 organizations: William Beaumont Hospital (Royal Oak, MI), Paragon Anesthesia PLLC (Birmingham, MI), Superior Anesthetists Associates, Inc. (Troy, MI), Asa Staffing Inc (Rochester, MI) and Northstar Anesthesia Of Michigan III PLLC (Irving, TX). Each 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 Jaclyn Stockoski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jaclyn Stockoski was last updated on February 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.