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

Stasia Renell Payne

Individual provider Acute Care Nurse Practitioner · NPI 1245001403

Stasia Renell Payne is a Nurse Practitioner in Garden City, Michigan. Qualified in 2017, 9 years ago. Practices with Cancer and Hematology Centers of Western Mi, PC, a 109-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

6255 Inkster Rd Ste 307
Garden City, MI 48135-2538
Phone: (734) 458-3279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 4704300384 (MI)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 4704300384 (MI)

Record details

NPI number1245001403
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 15, 2024
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Cancer And Hematology Centers Of Western Mi, P.C. — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Beaumont Hospital - Dearborn Hospital · Dearborn, MI

Colleagues at Cancer and Hematology Centers of Western Mi, PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 109 clinicians in the practice; 12 are shown here.