Individual provider Active NPI

Stephanie Ann Garsteck-Polak, CRNA

  • Certified Registered Nurse Anesthetist
  • Troy, MI
National Provider Identifier
1194798181
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704153624 Issued in MI
Practice address
44201 Dequindre Rd
Attn Surgical Services
Troy, MI 48085-1117
Phone
(248) 964-3012
Fax
(248) 964-3012
NPI assigned
Feb 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704153624 MI Primary

Addresses

Primary practice location

44201 Dequindre Rd
Attn Surgical Services
Troy, MI 48085-1117

Mailing address

44201 Dequindre Rd
Attn Surgical Services
Troy, MI 48085-1117
Phone (248) 964-3012

Other identifiers 3

IdentifierTypeStateIssuer
430042552OtherMITRAVELERS MEDICARE
SG153624OtherMIBLUE SHIELD
3227635MedicaidMI

Other names 1

  • Stephanie Ann Bressler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080410000696 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153408430 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Northstar Anesthesia of Michigan III PLLCGroup PAC ID 7911325469, 561 clinicians

Practice addresses (Care Compare)

33155 Annapolis St
Wayne, MI 48184-2405
Phone (214) 687-0001

Hospital & facility affiliations

  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
William Beaumont Hospital Nurse Anesthetist, Certified Registered Current Accepting new patients
Northstar Anesthesia of Michigan III PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2021 Accepting new patients
Michigan Crnas Staffing LLC CurrentSince Aug 22, 2022 Accepting new patients
Eastside Group LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
West Michigan Aas LLC CurrentSince Aug 22, 2022 Accepting new patients
Novi Aas LLC CurrentSince Mar 1, 2026 Accepting new patients
Covenant Medical Center, Inc Past Accepting new patients
Morgan Medical Management, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
McLaren Flint Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

17000 Executive Plaza Dr
Ste 301
Dearborn, MI 48126
Phone (313) 408-6613

4024 Park East Ct SE
Grand Rapids, MI 49546
Phone (231) 592-3102

17700 23 Mile Rd
Ste 250
Macomb, MI 48044
Phone (586) 416-7500

1030 N Monroe St
Ste 2
Monroe, MI 48162
Phone (734) 682-3309

43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658

25500 Meadowbrook Rd
Ste 110
Novi, MI 48375
Phone (248) 477-0220

26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500

3601 W 13 Mile Rd
Royal Oak, MI 48073

28963 Little Mack Ave
Ste 10
St Clr Shores, MI 48081
Phone (586) 447-5110

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

1560 E Maple Rd
#100
Troy, MI 48083
Phone (248) 817-2001

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1194798181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44201 DEQUINDRE RD",
            "address_2": "ATTN SURGICAL SERVICES",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851117",
            "telephone_number": "248-964-3012",
            "fax_number": "248-964-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44201 DEQUINDRE RD",
            "address_2": "ATTN SURGICAL SERVICES",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851117",
            "telephone_number": "248-964-3012",
            "fax_number": "248-964-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARSTECK-POLAK",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704153624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "430042552",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "SG153624",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3227635",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BRESSLER",
            "middle_name": "ANN",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.