Individual provider Active NPI

Michael James Taylor, DNAP, CRNA

  • Certified Registered Nurse Anesthetist
  • Chelsea, MI
National Provider Identifier
1003698614
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704307188 Issued in MI
Practice address
775 S Main St
Chelsea, MI 48118-1383
Phone
(734) 593-6000
NPI assigned
Oct 18, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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 AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X 4704307188 MI Primary

Addresses

Primary practice location

775 S Main St
Chelsea, MI 48118-1383

Mailing address

10128 Hix Rd
Livonia, MI 48150-4532
Phone (248) 305-0758

Other practice location 1

11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone (586) 573-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240108004219 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820449473 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huron Gastroenterology Associates PCGroup PAC ID 0840288221, 95 clinicians
Chelsea Community HospitalGroup PAC ID 0648171074, 38 clinicians

Practice addresses (Care Compare)

36650 Five Mile Rd
Suite 100
Livonia, MI 48154-1956
Phone (734) 434-6262

775 S Main St
Chelsea, MI 48118-1370
Phone (734) 475-1311

Hospital & facility affiliations

  • Chelsea Hospital Hospital, Chelsea, MI, CCN 230259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Huron Gastroenterology Associates PC Multi-Specialty CurrentSince Mar 1, 2025 Accepting new patients
Chelsea Community Hospital Multi-Specialty CurrentSince Dec 4, 2023 Accepting new patients
Huron Gastroenterology Associates PC Multi-Specialty CurrentSince Mar 1, 2025 Accepting new patients
Chelsea Community Hospital CurrentSince Dec 4, 2023 Accepting new patients

Locations

775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

36650 5 Mile Rd
Ste 100
Livonia, MI 48154
Phone (734) 432-0314

36650 5 Mile Rd
Ste 101
Livonia, MI 48154
Phone (734) 434-6262

5300 Elliott Dr
Ypsilanti, MI 48197
Phone (734) 434-6262

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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 1

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": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1003698614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10128 HIX RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481504532",
            "telephone_number": "248-305-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 S MAIN ST",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181383",
            "telephone_number": "734-593-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11800 E 12 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480933472",
            "country_code": "US",
            "telephone_number": "586-573-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "DNAP, CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-18",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704307188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.