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

Q: What is Stephanie Boerger's NPI number?

The NPI number for Stephanie Boerger is 1548735483. It was assigned to this individual provider in the NPPES registry on October 8, 2018.

Q: What is Stephanie Boerger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Boerger was last updated on December 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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).

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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

Phone(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

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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.

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