Active NPI
Diane Stoller, CRNA
- Certified Registered Nurse Anesthetist
- Dearborn Heights, MI
National Provider Identifier
1831131978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704091295
- Practice address
- 707 Sandra CT
Dearborn Heights, MI 48127-4137 - Phone
- (313) 274-5061
- Fax
- (248) 357-0915
- NPI assigned
- Jun 12, 2006
- 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 | 4704091295 | MI | Primary |
Addresses
Primary practice location
707 Sandra CT
Dearborn Heights, MI 48127-4137
Mailing address
707 Sandra CT
Dearborn Heights, MI 48127-4137
Phone (313) 274-5061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DS091295 | Other | MI | BCBSM NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704091295 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ambulatory Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Straith Hospital for Special Surgery | Past | Accepting new patients | |
| Garden City Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Detroit Osteopathic Hospital Corporation | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Interoperability endpoints
- https://phsfhir.primehealthcare.com/PHS-PRD-FHIR/api/FHIR/R4
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.
-
- Anesthesiology Physician
- Monroe, MI
- NPI 1952350555
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Warren, MI
- NPI 1336182351
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Garden City, MI
- NPI 1023052420
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Southfield, MI
- NPI 1710037221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1831131978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 SANDRA CT",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481274137",
"telephone_number": "313-274-5061",
"fax_number": "248-357-0915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 SANDRA CT",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481274137",
"telephone_number": "313-274-5061",
"fax_number": "248-357-0915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLLER",
"first_name": "DIANE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704091295",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM NUMBER",
"identifier": "DS091295",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.