Individual provider Active NPI

Lisa Zetuna

  • Certified Registered Nurse Anesthetist
  • Detroit, MI
National Provider Identifier
1003322603
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704284774 Issued in MI
Practice address
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone
(313) 916-2600
NPI assigned
Dec 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704284774 MI Primary

Addresses

Primary practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Mailing address

3909 Woodward Ave Apt 504
Detroit, MI 48201-2179
Phone (248) 508-0826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180123002881 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274892096 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Michigan PLLCGroup PAC ID 9638481591, 192 clinicians

Practice addresses (Care Compare)

3990 John R St
Detroit, MI 48201-2018
Phone (313) 993-0822

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-3615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Services, LLC CurrentSince Jan 20, 2019 Accepting new patients
Northstar Anesthesia of Michigan PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2025 Accepting new patients
Henry Ford Health System CurrentSince Dec 23, 2017 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince May 14, 2024 Accepting new patients
Wa Foote Memorial Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince May 14, 2024 Accepting new patients
Radius Anesthesia of Michigan PLLC CurrentSince Jul 7, 2021 Accepting new patients
Northwestern Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 20, 2019 Accepting new patients
Michigan Crnas Staffing LLC CurrentSince Mar 12, 2020 Accepting new patients
Henry Ford Health System Nurse Anesthetist, Certified Registered CurrentSince Dec 23, 2017 Accepting new patients
West Michigan Aas LLC CurrentSince Jan 25, 2022 Accepting new patients
Crnas of Michigan Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

17000 Executive Plaza Dr
Ste 301
Dearborn, MI 48126
Phone (313) 408-6613

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

30055 Northwestern Hwy
Ste L-60
Farmington Hills, MI 48334
Phone (248) 265-6555

4024 Park East Ct SE
Grand Rapids, MI 49546
Phone (231) 592-3102

205 S East Ave
Jackson, MI 49201
Phone (517) 205-2103

1030 N Monroe St
Ste 2
Monroe, MI 48162
Phone (734) 682-3309

43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658

31235 Harper Ave
St Clr Shores, MI 48082
Phone (267) 817-8902

1560 E Maple Rd
#100
Troy, MI 48083
Phone (248) 817-2001

350 W Big Beaver Rd
Troy, MI 48084
Phone (248) 524-7180

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

Interoperability endpoints

  • Direct secure messaging: lzetuna14128@direct.hfhs.org

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1003322603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 WOODWARD AVE APT 504",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012179",
            "telephone_number": "248-508-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZETUNA",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704284774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; 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.

Verify at the official NPI Registry.