STACEY STEFANSKY DPM PLLC
NPI 1194964452
Clinic/Center - Podiatric in Waterford, MI
About Stacey Stefansky Dpm Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY STEFANSKY DPM PLLC (NPI 1194964452) is a healthcare organization registered as a podiatric in Waterford, Michigan and active in the NPI registry since February 2009. The organization lists Stacey Stefansky, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stacey Stefansky Dpm Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Stacey Stefansky DPM PLLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Stacey Stefansky Dpm PLLC's NPI number?
The NPI number for Stacey Stefansky Dpm PLLC is 1194964452. It was assigned to this organization in the NPPES registry on February 10, 2009.
Where is Stacey Stefansky Dpm PLLC located?
Stacey Stefansky Dpm PLLC is located at 2130 Marshall Court, Waterford, MI 48329. The listed phone number is (248) 390-5730.
What is Stacey Stefansky Dpm PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.
Is Stacey Stefansky Dpm PLLC enrolled in Medicare?
Yes. Stacey Stefansky Dpm PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stacey Stefansky Dpm PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Stacey Stefansky Dpm PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Stacey Stefansky Dpm PLLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Stacey Stefansky Dpm PLLC 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.
When was this NPI record last updated?
The NPPES record for Stacey Stefansky Dpm PLLC was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Stacey Stefansky Dpm Pllc · NPI 1194964452
Podiatric organization in Waterford, Michigan. Organization record, active in the CMS NPPES registry since February 10, 2009.
## Identity
- **NPI:** 1194964452 (Entity type: Organization)
- **Enumerated:** February 10, 2009
- **Primary specialty:** Clinic/Center - Podiatric · taxonomy 261QP1100X
- **Organization subpart:** No
- **Authorized official:** Stacey Stefansky, OWNER
## Practice location
- **Address:** 2130 MARSHALL COURT, Waterford, MI 48329-4069
- **Phone:** (248) 390-5730
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 23, 2019
- **Other identifiers:** Other 4856320100 (MI); Medicaid 1053399949 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1194964452) · Data from the CMS NPPES public registry.