STACY DANIELLE GARDNER NNP-BC
NPI 1801623806
Nurse Practitioner - Neonatal, Critical Care in Detroit, MI

Q: What is Stacy Gardner's NPI number?

The NPI number for Stacy Gardner is 1801623806. It was assigned to this individual provider in the NPPES registry on September 16, 2024.

Q: What is Stacy Gardner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Gardner was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since September 16, 2024PECOS Enrolled

3901 BEAUBIEN ST, DETROIT, MI 48201(313) 966-8341(313) 966-6121 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Stacy Danielle Gardner Nnp-bc NPPES

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

STACY DANIELLE GARDNER NNP-BC (NPI 1801623806) is an individual neonatal, critical care provider in Detroit, Michigan, licensed in Michigan (4704310876NSA240SW) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801623806

Entity TypeIndividualFemale

Primary Taxonomy363LN0005X

Provider Legal NameSTACY DANIELLE GARDNERCredential: NNP-BC

Location Address3901 BEAUBIEN STDetroit, MI 48201-2119

Mailing Address9792 Seavitt DrAllen Park, MI 48101-1293 · (734) 776-2279

Phone(313) 966-8341

Fax(313) 966-6121

Sole ProprietorNo

Enumeration DateSeptember 16, 2024

NPPES CertifiedSeptember 16, 2024

✔ NPI 1801623806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0005X

License✔ Licensed in MI · 4704310876NSA240SW

3901 BEAUBIEN ST, Detroit, MI 48201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Danielle Gardner Nnp-bc 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 48201 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.

KAROLINA MAKSIMOWSKI

Pediatrics (Pediatric Emergency Medicine)