STASIA RENELL PAYNE
NPI 1245001403
Nurse Practitioner - Gerontology in Garden City, MI

Active since January 15, 2024PECOS EnrolledAccepts Medicare Assignment
6255 INKSTER RD STE 307, GARDEN CITY, MI 48135(734) 458-3279 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stasia Renell Payne NPPES

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

STASIA RENELL PAYNE (NPI 1245001403) is an individual gerontology provider in Garden City, Michigan, licensed in Michigan (4704300384) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Dearborn, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1245001403
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSTASIA RENELL PAYNE
Location Address6255 INKSTER RD STE 307Garden City, MI 48135-2538
Mailing Address6255 Inkster Rd Ste 307Garden City, MI 48135-2538
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 15, 2024
Last NPPES UpdateMay 15, 2025
NPPES CertifiedMay 15, 2025
NPI 1245001403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in MI · 4704300384
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 4704300384 (MI)
6255 INKSTER RD STE 307, Garden City, MI 48135

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stasia Renell Payne 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 ID143739086
PECOS Enrollment IDI20250603001208
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital - Dearborn

Acute Care Hospitals · Dearborn, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230020
Location18101 Oakwood BlvdDearborn, MI 48124 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48135 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner
6255 INKSTER RD STE 307
GARDEN CITY, MI 48135
Internal Medicine (Pulmonary Disease)
6255 INKSTER RD STE 307
GARDEN CITY, MI 48135
Nurse Practitioner
6255 INKSTER RD STE 307
GARDEN CITY, MI 48135

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 Stasia Payne's NPI number?

The NPI number for Stasia Payne is 1245001403. It was assigned to this individual provider in the NPPES registry on January 15, 2024.

Where is Stasia Payne located?

Stasia Payne practices at 6255 Inkster Rd Ste 307, Garden City, MI 48135. The listed phone number is (734) 458-3279.

What is Stasia Payne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Stasia Payne enrolled in Medicare?

Yes. Stasia Payne 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.

What insurance does Stasia Payne 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 and 2 other insurers list Stasia Payne 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 Stasia Payne affiliated with any hospitals?

According to CMS data, Stasia Payne is affiliated with Beaumont Hospital - Dearborn.

When was this NPI record last updated?

The NPPES record for Stasia Payne was last updated on May 15, 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.