Active NPI
Stefanie Domanico, CRNA
- Certified Registered Nurse Anesthetist
- Novi, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704292372
- Practice address
- 46325 W Twelve Mile Rd Ste 100
Novi, MI 48377-2457 - Phone
- (248) 618-2121
- NPI assigned
- Nov 17, 2016
- 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 | 4704292372 | MI | Primary |
Addresses
Primary practice location
46325 W Twelve Mile Rd Ste 100
Novi, MI 48377-2457
Mailing address
2544 Spindlehill Dr Apt 5
Cincinnati, OH 45230-1047
Phone (248) 515-3507
Other names 1
- Stefanie Burdalas
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (586) 493-8000
2006 Hogback Rd
Ann Arbor, MI 48105-9750
230 W Maple Rd
Troy, MI 48084-5471
Phone (248) 244-1500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704292372 | MI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novi Aas LLC | Current | Accepting new patients | |
| GLPS Staffing Solutions LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| West Michigan Aas LLC | Current | Accepting new patients | |
| PSJ Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southfield Rehabilitation Company | Current | Accepting new patients | |
| Southfield Rehabilitation Company | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Ann Arbor, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Surgical Centers - Ann Arbor LLC | Current | Accepting new patients |
Locations
2006 Hogback Rd
Ste 5
Ann Arbor, MI 48105
Phone (313) 712-4331
710 Avis Dr
Ste 100
Ann Arbor, MI 48108
Phone (734) 719-8900
4024 Park East Ct SE
Grand Rapids, MI 49546
Phone (231) 592-3102
3800 Centennial Dr
Grass Lake, MI 49240
Phone (517) 701-3100
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727
25500 Meadowbrook Rd
Ste 110
Novi, MI 48375
Phone (248) 477-0220
46325 W Twelve Mile Rd
Ste 100
Novi, MI 48377
Phone (248) 618-2121
43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
22401 Foster Winter Dr
Southfield, MI 48075
Phone (248) 423-4100
230 W Maple Rd
Troy, MI 48084
Phone (248) 244-1500
1560 E Maple Rd
#100
Troy, MI 48083
Phone (248) 817-2001
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Westland, MI
- NPI 1669581997
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Mount Clemens, MI
- NPI 1750797015
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Ann Arbor, MI
- NPI 1164246542
-
- Anesthesiology Physician
- Novi, MI
- NPI 1598176919
-
- Certified Registered Nurse Anesthetist
- Southfield, MI
- NPI 1275905796
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Southfield, MI
- NPI 1790785095
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Novi, MI
- NPI 1295149227
-
- Diagnostic Radiology Physician
- Dearborn, MI
- NPI 1285906792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766361600000",
"number": "1427590751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2544 SPINDLEHILL DR APT 5",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452301047",
"telephone_number": "248-515-3507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46325 W TWELVE MILE RD STE 100",
"city": "NOVI",
"state": "MI",
"postal_code": "483772457",
"telephone_number": "248-618-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMANICO",
"first_name": "STEFANIE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-17",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704292372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEFANIE",
"last_name": "BURDALAS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.