Individual provider Active NPI

Susan M Smith, CRNA

  • Certified Registered Nurse Anesthetist
  • Novi, MI
National Provider Identifier
1013996479
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704168305 Issued in MI
Practice address
39450 W Twelve Mile Rd
Novi, MI 48377-3600
Phone
(248) 344-8008
NPI assigned
Jan 13, 2006
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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 4704168305 MI Primary

Addresses

Primary practice location

39450 W Twelve Mile Rd
Novi, MI 48377-3600

Mailing address

5623 E Dunbar Rd
Monroe, MI 48161-9127
Phone (734) 241-3891

Other practice location 1

620 Byron Rd
Howell, MI 48843-1002
Phone (517) 545-6000

Other practice location 2

790 Kensington Ln
Bloomfield Hills, MI 48304-3744
Phone (734) 241-3891

Other practice location 3

5301 E Huron River Dr
Ypsilanti, MI 48197-1051
Phone (734) 712-3456

Other identifiers 2

IdentifierTypeStateIssuer
430F374030OtherMIBCBS PIN
4603925 10MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090720000037 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022160209 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Michigan Aas LLCGroup PAC ID 9931324076, 38 clinicians
Northwestern Services LLCGroup PAC ID 4486723657, 47 clinicians

Practice addresses (Care Compare)

25500 Meadowbrook Rd
Suite 110
Novi, MI 48375-1879
Phone (248) 477-2200

30055 Northwestern Hwy
Suite L 60
Farmington Hills, MI 48334-3274
Phone (248) 265-6555

5300 Elliott Dr
Ypsilanti, MI 48197-8632
Phone (734) 434-6262

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Services, LLC CurrentSince Jun 3, 2024 Accepting new patients
Huron Gastroenterology Associates PC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2025 Accepting new patients
Sjmhs Anesthesia Services Nurse Anesthetist, Certified Registered Current Accepting new patients
Sjmhs Anesthesia Services Nurse Anesthetist, Certified Registered CurrentSince Feb 8, 2021 Accepting new patients
Sjmhs Anesthesia Services Current Accepting new patients
Northwestern Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 3, 2024 Accepting new patients
Huron Gastroenterology Associates PC CurrentSince Apr 1, 2025 Accepting new patients
West Michigan Aas LLC CurrentSince May 1, 2024 Accepting new patients
Rochester Medical Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 6, 2020 Accepting new patients
Novi Aas LLC CurrentSince Mar 1, 2026 Accepting new patients
Anesthesia Professional Services PC Nurse Anesthetist, Certified Registered CurrentSince May 25, 2026 Accepting new patients
William Beaumont Hospital Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 1999 Accepting new patients
William Beaumont Hospital CurrentSince Nov 15, 1999 Accepting new patients
Northstar Anesthesia of Michigan III PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2021 Accepting new patients
Michigan Medical Anesthesia, .P,C, Past Accepting new patients

Locations

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

750 E Beltline Ave NE
Ste 201A
Grand Rapids, MI 49525
Phone (616) 942-6767

3800 Centennial Dr
Grass Lake, MI 49240
Phone (517) 701-3100

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

5623 E Dunbar Rd
Monroe, MI 48161

25500 Meadowbrook Rd
Ste 110
Novi, MI 48375
Phone (248) 477-0220

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

1349 S Rochester Rd
Ste 150
Rochester Hills, MI 48307
Phone (248) 844-3800

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

3601 W 13 Mile Rd
Royal Oak, MI 48073

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

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

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

5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246

Interoperability endpoints

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

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1013996479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5623 E DUNBAR RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481619127",
            "telephone_number": "734-241-3891",
            "fax_number": "734-241-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39450 W TWELVE MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773600",
            "telephone_number": "248-344-8008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Byron Rd",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "MI",
            "postal_code": "488431002",
            "country_code": "US",
            "telephone_number": "517-545-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "790 Kensington Ln",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "483043744",
            "country_code": "US",
            "telephone_number": "734-241-3891",
            "fax_number": "734-241-0014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5301 E Huron River Dr",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481971051",
            "country_code": "US",
            "telephone_number": "734-712-3456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704168305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "430F374030",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4603925 10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.