Individual provider Active NPI

Darlene B Marsich-Douglas, CRNA

  • Certified Registered Nurse Anesthetist
  • Troy, MI
National Provider Identifier
1003854209
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704174806 Issued in MI
Practice address
4550 Investment Dr
Suite 100
Troy, MI 48098-6363
Phone
(248) 265-4600
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4704174806 MI Primary

Addresses

Primary practice location

4550 Investment Dr
Suite 100
Troy, MI 48098-6363

Mailing address

255 W Michigan Ave
Jackson, MI 49201-2218
Phone (517) 787-6440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061020000053 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789680430 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Anesthesia PLLCGroup PAC ID 4789096942, 10 clinicians
Neuro Pain Consultants PCGroup PAC ID 1052204062, 20 clinicians
Medical Directors Consultants PLCGroup PAC ID 9739697822, 17 clinicians

Practice addresses (Care Compare)

26051 Lahser Rd
Southfield, MI 48033-2601
Phone (248) 223-9925

359 Enterprise CT
Bloomfield Hills, MI 48302-0305
Phone 2487517246398

359 Enterprise CT
Bloomfield Hills, MI 48302-1055
Phone (248) 220-7505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704174806MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Anesthesia PLLC CurrentSince Jun 1, 2024 Accepting new patients
Long Lake Anesthesiology Consultants, PLC CurrentSince Aug 1, 2024 Accepting new patients
Medical Directors Consultants PLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2025 Accepting new patients
Superior Anesthetists Associates, Inc. CurrentSince Jan 26, 2006 Accepting new patients
Neuro Pain Consultants PC CurrentSince Dec 23, 2024 Accepting new patients
Northstar Anesthesia of Michigan II PC Nurse Anesthetist, Certified Registered CurrentSince Sep 4, 2012 Accepting new patients
Pinnacle Anesthesia PLLC CurrentSince Mar 27, 2024 Accepting new patients
St. Joseph Mercy Hospital Crna Group Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2009 Momentum Pl
Chicago, IL 60689

2370 Momentum Pl
Chicago, IL 60689

359 Enterprise Ct
Ste C
Bloomfield Township, MI 48302
Phone (248) 220-7505

799 Denison Ct
Fl 2
Bloomfld Hls, MI 48302
Phone (248) 630-4333

359 Enterprise Ct
Bloomfld Hls, MI 48302
Phone (248) 220-7505

5202 Miller Rd
Flint, MI 48507
Phone (810) 720-8900

3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063

1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033

48801 Romeo Plank Rd
Ste 101
Macomb, MI 48044
Phone (586) 726-8423

26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

920 River Centre Dr
Port Huron, MI 48060
Phone (810) 984-5200

1701 South Blvd E
Ste 300
Rochester Hills, MI 48307
Phone (248) 844-9710

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

50438 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 726-8423

26051 Lahser Rd
Southfield, MI 48033
Phone (248) 223-9925

4600 Investment Dr
Ste 270
Troy, MI 48098
Phone (248) 267-6222

4550 Investment Dr
Troy, MI 48098
Phone (248) 265-4600

4550 Investment Dr
Ste 100
Troy, MI 48098
Phone (248) 265-4600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15471/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003854209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "517-787-6440",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 INVESTMENT DR",
            "address_2": "SUITE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986363",
            "telephone_number": "248-265-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSICH-DOUGLAS",
        "first_name": "DARLENE",
        "middle_name": "B",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704174806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.