Active NPI
Stefania A Faylor, CRNA
- Certified Registered Nurse Anesthetist
- Mt Clemens, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704297241
- Practice address
- 1000 Harrington Blvd
Mt Clemens, MI 48043-2920 - Phone
- (586) 493-8000
- NPI assigned
- Jan 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704297241 | MI | Primary |
Addresses
Primary practice location
1000 Harrington Blvd
Mt Clemens, MI 48043-2920
Mailing address
30400 Telegraph Rd Ste 405
Bingham Farms, MI 48025-5817
Phone (248) 594-9501
Other names 1
- Stefania Forlini
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 Pine Grove Ave
Port Huron, MI 48060-3511
Phone (810) 987-5000
22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-4000
Hospital & facility affiliations
- McLaren Macomb
- Henry Ford Health St John Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704297241 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health St. John Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| GLPS Staffing Solutions LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Asa Staffing Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health St. John Hospital | Current | Accepting new patients |
Locations
7915 Solutions Ctr Dr
Chicago, IL 60677
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
Interoperability endpoints
- sfaylor1126624@direct.hfhs.org
Organizations & group practices 4
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.
-
- Certified Registered Nurse Anesthetist
- Rochester, MI
- NPI 1114378981
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Detroit, MI
- NPI 1598896995
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Mount Clemens, MI
- NPI 1750797015
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Shelby Township, MI
- NPI 1184206385
-
- General Acute Care Hospital
- Mount Clemens, MI
- NPI 1316938327
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516752000000",
"number": "1235637315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30400 TELEGRAPH RD STE 405",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480255817",
"telephone_number": "248-594-9501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HARRINGTON BLVD",
"city": "MT CLEMENS",
"state": "MI",
"postal_code": "480432920",
"telephone_number": "586-493-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAYLOR",
"first_name": "STEFANIA",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-24",
"last_updated": "2018-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704297241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEFANIA",
"last_name": "FORLINI",
"credential": "CRNA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mt Clemens, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.