STEPHANIE PERS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1073567327

STEPHANIE PERS (CRNA) is a healthcare provider. based in Dearborn, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704226019 (MI). The NPI Number for STEPHANIE PERS (CRNA) is 1073567327

Main info

Female
22 Years Of Experience
Name
STEPHANIE PERS (CRNA)
NPI
1073567327
Phone
(313) 436-2374
Address
18101 OAKWOOD BLVD
Enumeration Date
20 May 2006
Last Update Date
2 July 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2146870001
Graduation Year
2004 (22 years ago)
PAC ID
7113964305
Group Practice PAC ID
7911325469
Professional Enrollment ID
I20050408001043
Address ID
MI481244089DE18101BLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

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Provider Addresses for STEPHANIE PERS (CRNA)

  • Beaumont Hospital - Dearborn, 18101, Oakwood Boulevard, Dearborn, Wayne County, Michigan, 48124, United States

    DEARBORN, MI 481244089

    Phone: (313) 436-2374

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-04-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050408001043ICertified Registered Nurse Anesthetist (Crna)MITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48124)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911325469View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Anesthesiology, Interventional Pain ManagementMI
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YMI

Reviews

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Frequently asked questions

How is STEPHANIE PERS (CRNA) identified in CMS data?
CMS-hosted NPPES data lists STEPHANIE PERS (CRNA) with NPI 1073567327.
Is STEPHANIE PERS (CRNA) listed as active for patients and plans?
The listing shows STEPHANIE PERS (CRNA) as active in the NPI system.
What is STEPHANIE PERS (CRNA) best known for clinically?
Directory data describes STEPHANIE PERS (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where should I expect STEPHANIE PERS (CRNA) on a map?
Expect Dearborn, Michigan as a primary anchor for STEPHANIE PERS (CRNA) unless the record lists multiple sites.
Why does STEPHANIE PERS (CRNA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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