Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephen Jaskulski

Individual provider Certified Registered Nurse Anesthetist · NPI 1609592062

Stephen Jaskulski is a Certified Registered Nurse Anesthetist (CRNA) in Novi, Michigan. Qualified in 2022, 4 years ago. Practices with St Alphonsus Professional Medical Services LLC, a 123-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
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Practice location Address checks out

47601 Grand River Ave
Novi, MI 48374-1233
Phone: (248) 465-4249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704317192 (MI)

Record details

NPI number1609592062
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 18, 2022
Last updated in NPPESDecember 22, 2022
Certification dateDecember 22, 2022
Mailing address47601 Grand River Ave, Novi, MI 48374-1233

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice St Alphonsus Professional Medical Services Llc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Novi