Active NPI
Mary Lynn Meisel, CRNA
- Certified Registered Nurse Anesthetist
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 95001604
- Practice address
- 16001 W 9 Mile Rd
Southfield, MI 48075-4818 - Phone
- (248) 849-5806
- Fax
- (248) 849-5489
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- 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 | 4704189465 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | 95001604 | CA | Primary |
Addresses
Primary practice location
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Mailing address
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-5806
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4546201 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IN, CA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1316 E 7TH St
Parkview Dekalb Hospital
Auburn, IN 46706-2538
Phone (260) 925-4600
702 Van Buren St
Fort Wayne, IN 46802-3697
Phone (260) 425-3000
7950 W Jefferson Blvd
Lutheran Hospital
Fort Wayne, IN 46804-4140
Phone (260) 435-7001
7952 W Jefferson Blvd
The Orthopedic Hosp of Lutheran HN
Fort Wayne, IN 46804-4140
Phone (260) 435-2999
Hospital & facility affiliations
- Lutheran Hospital of Indiana
- St Joseph Health System, LLC
- The Orthopaedic Hospital of Lutheran Health Networ
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.76 of 100
- Quality
- 62.07
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704189465 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Anesthesiologists of Fort Wayne PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Michigan III PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Porter County Anesthesia Associates PC | Current | Accepting new patients | |
| Cep America - Anesthesia, PC | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| U S Anesthesia Partners of Kentucky PSC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Cep America - Anesthesia PC | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000
2175 Rosaline Ave
Ste A
Redding, CA 96001
Phone (530) 225-7400
1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600
3111 Village Pt
Chesterton, IN 46304
Phone (219) 983-1401
7952 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2999
702 Van Buren St
Fort Wayne, IN 46802
Phone (260) 425-3000
10315 Dawsons Creek Blvd
Ste Ab
Fort Wayne, IN 46825
Phone (219) 436-7875
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
6435 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-7875
900 I St
Ste 1
Laporte, IN 46350
Phone (216) 228-1600
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000
3601 W 13 Mile Rd
Royal Oak, MI 48073
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
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.
-
- Anesthesiology Physician
- Fort Wayne, IN
- NPI 1538159140
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Walnut Creek, CA
- NPI 1790401438
-
- Pain Medicine (Anesthesiology) Physician
- Irving, TX
- NPI 1972126209
MI, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Valparaiso, IN
- NPI 1215974936
-
- Anesthesiology Physician
- Redding, CA
- NPI 1013561851
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
-
- Anesthesiology Physician
- Fremont, CA
- NPI 1982009759
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1144901042
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1174706576
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1023060472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647993600000",
"number": "1003911710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16001 W 9 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754818",
"telephone_number": "248-849-5806",
"fax_number": "248-849-5489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16001 W 9 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754818",
"telephone_number": "248-849-5806",
"fax_number": "248-849-5489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEISEL",
"first_name": "MARY",
"middle_name": "LYNN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704189465",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95001604",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4546201",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.