Stefan M Smolenski

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704279492 Issued in MI

Practice address

23829 Little Mack Ave Ste 100
Saint Clair Shores, MI 48080-1186

Phone

(586) 773-1300

NPI assigned

Oct 9, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ssmolenski383429@direct.hfhs.org
• Direct secure messaging: ssmolenski1151899@direct.hfhs.org

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.

• St Clair Orthopaedics and Sports Medicine PC

  • Orthopaedic Surgery Physician
  • Saint Clair Shores, MI
  • NPI 1720041288
  Medicare reassignment NPD
• St. Clair Orthopaedics and Sports Medicine PC

  • Orthopaedic Surgery Physician
  • Saint Clair Shores, MI
  • NPI 1528587854
  NPD

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1427690734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 BEDFORD RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301409",
            "telephone_number": "313-801-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23829 LITTLE MACK AVE STE 100",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801186",
            "telephone_number": "586-773-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLENSKI",
        "first_name": "STEFAN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704279492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flora Smith, NP
• Keisha Smith
• Tilmira Smith, MD
• Wontika R. Smith, M.D.
• Adrianna Christine Smoke
• Maunda Amina Snodgrass, L.P. PSYD
• Dayna E Snyder, DO
• Cassandra Sokolnicki
• Jennifer Marie Solak, MBA, BSN, RN
• Solas PLC

• Nurse Practitioner in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.