STEPHANIE DOMINIQUE GIALDI BOERGER NURSE PRACTITIONER
NPI 1548735483
Nurse Practitioner - Family in Detroit, MI

Active since October 08, 2018PECOS Enrolled
400 RENAISSANCE CTR STE 2600, DETROIT, MI 48243(888) 731-8994 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 10, 2025, May 21, 2021, Oct 8, 2018 (3 updates tracked since 2018).

About Stephanie Dominique Gialdi Boerger Nurse Practitioner NPPES

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

STEPHANIE DOMINIQUE GIALDI BOERGER NURSE PRACTITIONER (NPI 1548735483) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704314584) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1548735483
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE DOMINIQUE GIALDI BOERGERCredential: NURSE PRACTITIONER
Location Address400 RENAISSANCE CTR STE 2600Detroit, MI 48243-1599
Mailing Address400 Renaissance Ctr Ste 2600Detroit, MI 48243-1599 · (888) 731-8994
Sole ProprietorNo
Enumeration DateOctober 8, 2018
Last NPPES UpdateDecember 10, 20253 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
NPI 1548735483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704314584
400 RENAISSANCE CTR STE 2600, Detroit, MI 48243

Other Names 1

Former Name (1)Stephanie Gialdi

Secondary Practice Locations 2

Location 120 Foundry St Fl 2Concord, NH 03301-5419 · Phone (888) 731-8994
Location 2700 Main St Ste 3Bangor, ME 04401-6800 · Phone (888) 731-8994

Other Identifiers 1

Other4704314584MI · Board Of Nursing

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stephanie Dominique Gialdi Boerger Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48243 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 20

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

Behavior Technician
400 RENAISSANCE CTR STE 2600
DETROIT, MI 48243
Behavior Analyst
400 RENAISSANCE CTR STE 2600
DETROIT, MI 48243
Assistant Behavior Analyst
400 RENAISSANCE CTR STE 2600
DETROIT, MI 48243
Assistant Behavior Analyst
400 RENAISSANCE CTR STE 2600
DETROIT, MI 48243
Counselor (Professional)
400 RENAISSANCE CTR STE 2600
DETROIT, MI 48243
Home Health
400 RENAISSANCE CTR STE 2600
DETROIT, MI 48243
Behavior Analyst
400 RENAISSANCE CTR STE 2600
DETROIT, MI 48243
Behavior Technician
400 RENAISSANCE CTR STE 2600
DETROIT, MI 48243

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548735483, enumerated as an "individual" on October 08, 2018.

The provider is located at 400 RENAISSANCE CTR STE 2600 DETROIT, MI 48243 and the phone number is (888) 731-8994.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.