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STEFANIE DOMANICO CRNA
NPI 1427590751
Nurse Anesthetist, Certified Registered in Novi, MI

Active since November 17, 2016Accepts Medicare Assignment
77.85/100
CMS Quality Rating
46325 W TWELVE MILE RD STE 100, NOVI, MI 48377(248) 618-2121 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 22, 2025, Nov 17, 2016 (2 updates tracked since 2016).

About Stefanie Domanico Crna NPPES

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

STEFANIE DOMANICO CRNA (NPI 1427590751) is an individual nurse anesthetist, certified registered in Novi, Michigan, licensed in Michigan (4704292372) and active in the NPI registry since November 2016. She is a graduate of Other (2016).

NPPES Registry Identity

NPI1427590751
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSTEFANIE DOMANICOCredential: CRNA
Location Address46325 W TWELVE MILE RD STE 100Novi, MI 48377-2457
Mailing Address2544 Spindlehill Dr Apt 5Cincinnati, OH 45230-1047 · (248) 515-3507
Phone(248) 618-2121
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 17, 2016
Last NPPES UpdateDecember 22, 20252 updates tracked since enumeration
NPPES CertifiedDecember 22, 2025
✔ NPI 1427590751 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 · 4704292372
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.
46325 W TWELVE MILE RD STE 100, Novi, MI 48377
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Other Names 1

Former Name (1)Stefanie Burdalas

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stefanie Domanico 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 ID5698059228
PECOS Enrollment IDI20170228000279

Medicare Billing Reassignments

7

Medicare enrollment records show Stefanie Domanico reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Michigan Aas LLC
3.4 mi
Anesthesiology
43422 W OAKS DR # 332
Novi, MI 48377
  • Reassigned Medicare billing, Michigan enrollment
  • 188 clinicians in this Medicare group
NPI 1295149227 (248) 229-4658
Novi Aas LLC
3.7 mi
Anesthesiology
43422 W OAKS DR # 332
Novi, MI 48377
  • Reassigned Medicare billing, Michigan enrollment
  • 192 clinicians in this Medicare group
NPI 1598176919 (248) 229-4658
Anesthesia Associates Of Ann Arbor, PLLC
10 mi
Anesthesiology
33545 CHERRY HILL RD FL 2
Westland, MI 48186
  • Reassigned Medicare billing, Michigan enrollment
  • 273 clinicians in this Medicare group
NPI 1669581997 (313) 293-7777
Southfield Rehabilitation Company
12 mi
General Acute Care Hospital
22401 FOSTER WINTER DRIVE
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • 101 clinicians in this Medicare group
NPI 1790785095 (248) 423-5100
American Surgical Centers - Ann Arbor LLC
23 mi
Anesthesiology
710 AVIS DR STE 100
Ann Arbor, MI 48108
  • Reassigned Medicare billing, Michigan enrollment
  • 24 clinicians in this Medicare group
NPI 1164246542 (734) 719-8900
Glps Staffing Solutions LLC
30 mi
Nurse Anesthetist, Certified Registered
1000 HARRINGTON ST
Mount Clemens, MI 48043
  • Reassigned Medicare billing, Michigan enrollment
  • 112 clinicians in this Medicare group
NPI 1750797015 (586) 493-8000
Psj Anesthesia PC
87 mi
Nurse Anesthetist, Certified Registered
16001 W 9 MILE RD
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • 209 clinicians in this Medicare group
NPI 1275905796 (248) 849-3000

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 procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810
Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48377 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.

77.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.5
Improvement Activities0
Cost75.07

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 Stefanie Domanico's NPI number?

The NPI number for Stefanie Domanico is 1427590751. It was assigned to this individual provider in the NPPES registry on November 17, 2016. The provider is also known as Stefanie Burdalas.

Where is Stefanie Domanico located?

Stefanie Domanico practices at 46325 W Twelve Mile Rd Ste 100, Novi, MI 48377. The listed phone number is (248) 618-2121.

What is Stefanie Domanico's specialty?

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

Is Stefanie Domanico enrolled in Medicare?

Yes. Stefanie Domanico 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 Stefanie Domanico's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stefanie Domanico reassigns Medicare benefits to 7 organizations: West Michigan Aas LLC (Novi, MI), Novi Aas LLC (Novi, MI), Anesthesia Associates Of Ann Arbor, PLLC (Westland, MI), Southfield Rehabilitation Company (Southfield, MI), American Surgical Centers - Ann Arbor LLC (Ann Arbor, MI) and 2 more organizations, listed in the Medicare section above. 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 Stefanie Domanico's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stefanie Domanico accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Stefanie Domanico 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 Stefanie Domanico was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.