Active NPI
Paul Richard Emmons III, CRNA
- Certified Registered Nurse Anesthetist
- Trenton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704260929
- Practice address
- 5450 Fort St
Trenton, MI 48183-4601 - Phone
- (734) 671-3800
- NPI assigned
- Jun 13, 2012
- Last updated
- Nov 6, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704260929 | MI | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 4018129 | KY |
Addresses
Primary practice location
5450 Fort St
Trenton, MI 48183-4601
Mailing address
1865 Baldwin CT
Trenton, MI 48183-1908
Phone (734) 306-6953
Other practice location 1
800 Rose St
Lexington, KY 40536-0293
Phone (859) 323-5956
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pemmons114164@epicdirect.promedica.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, KY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
5450 Fort St
Trenton, MI 48183-4601
Phone (214) 687-0001
5640 N Adrian Hwy
Adrian, MI 49221-8318
Phone (419) 291-4491
800 Rose St
Lexington, KY 40536-7001
Phone (859) 257-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4018129 | KY | MD | Certified Registered Nurse Anesthetist |
| 4704260929 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Memorial Hospital Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mercy Memorial Hospital Corporation | Current | Accepting new patients | |
| Northstar Anesthesia of Michigan II PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Promedica Central Corporation of Michigan | Current | Accepting new patients | |
| University of Kentucky | Current | Accepting new patients | |
| Michigan Crnas Staffing LLC | Current | Accepting new patients | |
| Northstar Anesthesia of Michigan III PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
5640 N Adrian Hwy
Adrian, MI 49221
Phone (419) 291-3000
818 Riverside Ave
Adrian, MI 49221
Phone (517) 263-0711
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
3175 Smith Rd
Lambertville, MI 48144
Phone (734) 856-5494
1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033
3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063
718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097
26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500
43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658
200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
5450 Fort St
Woodhaven, MI 48183
Phone (734) 671-3297
100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine (Anesthesiology) Physician
- Irving, TX
- NPI 1972126209
MI, Nurse Anesthetist, Certified Registered
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
- Anesthesiology Physician
- Novi, MI
- NPI 1851666424
-
- Anesthesiology Physician
- Irving, TX
- NPI 1437268026
MI, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Monroe, MI
- NPI 1366483745
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Promedica Monroe Regional Hospital
- General Acute Care Hospital
- Monroe, MI
- NPI 1811097223
-
dba Monroe Cancer Center
- Specialist
- Monroe, MI
- NPI 1376997551
Hospital
-
dba Beaumont Hospital - Trenton
- General Acute Care Hospital
- Trenton, MI
- NPI 1740230648
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1518911338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1003178377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1865 BALDWIN CT",
"city": "TRENTON",
"state": "MI",
"postal_code": "481831908",
"telephone_number": "734-306-6953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5450 FORT ST",
"city": "TRENTON",
"state": "MI",
"postal_code": "481834601",
"telephone_number": "734-671-3800"
}
],
"practiceLocations": [
{
"address_1": "800 Rose St",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405360293",
"country_code": "US",
"telephone_number": "859-323-5956",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EMMONS",
"first_name": "PAUL",
"middle_name": "RICHARD",
"name_suffix": "III",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-13",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704260929",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "4018129",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pemmons114164@epicdirect.promedica.org",
"affiliation": "N",
"address_1": "100 Madison Ave",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436041516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Trenton, MI
- Chelsea Leann Eldridge, BEHAVIOR TECHNICIAN
- Ellen G. Fredericks PHD., L.P., P.C.
- Latoya Ellis
- Angelique Nikkol-Telycenas Ellison, D.O.
- Caleb Gow Elsemore
- Emily Elizabeth- Lee England, LLBSW
- Lynn Michelle Essenmacher, RDH, BS
- Etlinger Chiropractic Clinic PC
- Ahmad Rafeek Farah, D.P.M.
- Mohammed Faraj, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.