Individual provider Active NPI

Stephanie Marie Piazza, NURSE PRACTITIONER

  • Nurse Practitioner
  • Dearborn, MI
National Provider Identifier
1891209391
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704282476 Issued in MI
Practice address
18181 Oakwood Blvd Ste 207
Dearborn, MI 48124-5031
Phone
(313) 647-6179
NPI assigned
Nov 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704282476 MI Primary

Addresses

Primary practice location

18181 Oakwood Blvd Ste 207
Dearborn, MI 48124-5031

Mailing address

18181 Oakwood Blvd Ste 207
Dearborn, MI 48124-5031

Other names 1

  • Stephanie Marie Bonora Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171129001054 MI Practitioner - Nurse Practitioner 2466719422 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Rhythm Clinics PCGroup PAC ID 4284802356, 2 clinicians

Practice addresses (Care Compare)

18181 Oakwood Blvd
Suite 207
Dearborn, MI 48124-5031
Phone (313) 551-3745

Hospital & facility affiliations

  • Corewell Health Trenton Hospital Hospital, Trenton, MI, CCN 230176
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704282476MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephro-Care MD PLC CurrentSince Jun 17, 2023 Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Jul 1, 2023 Accepting new patients
Elite Care Physicians, PLLC CurrentSince Sep 1, 2019 Accepting new patients
Heart Rhythm Clinics PC CurrentSince Nov 1, 2024 Accepting new patients
Vpa PC CurrentSince Jul 1, 2023 Accepting new patients
Heart Rhythm Clinic of Michigan PC Past Accepting new patients

Locations

18181 Oakwood Blvd
Ste 207
Dearborn, MI 48124
Phone (313) 551-3745

19141 Greenfield Rd
Detroit, MI 48235
Phone (313) 835-8500

6255 Inkster Rd
Ste 201
Garden City, MI 48135
Phone (734) 425-7230

27144 Joy Rd
Redford, MI 48239
Phone (313) 410-6003

500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060

Interoperability endpoints

  • Direct secure messaging: sbonora434014@direct.hfhs.org

Organizations & group practices 7

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 3

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": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1891209391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD STE 207",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481245031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD STE 207",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481245031",
            "telephone_number": "313-647-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIAZZA",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704282476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BONORA",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.