Active NPI
Nami O Edwards, CRNA
- Certified Registered Nurse Anesthetist
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704336296
- Practice address
- 259 Mack Ave
Detroit, MI 48201-2427 - Phone
- (313) 577-7689
- NPI assigned
- May 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704336296 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704336296 | MI | Primary |
Addresses
Primary practice location
259 Mack Ave
Detroit, MI 48201-2427
Mailing address
259 Mack Ave
Detroit, MI 48201-2427
Other practice location 1
1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Phone (810) 606-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230829003355 | MI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9234592874 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Northstar Anesthesia of Michigan III PLLC
Practice addresses (Care Compare)
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (214) 687-0001
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
- Scheurer Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704336296 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scheurer Hospital | Current | Accepting new patients | |
| Northstar Anesthesia of Michigan III PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Scheurer Hospital | Current | Accepting new patients | |
| Scheurer Hospital | Current | Accepting new patients | |
| Scheurer Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
170 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-3223
3601 W 13 Mile Rd
Royal Oak, MI 48073
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
Organizations & group practices 6
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.
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- NPI 1063582831
MI, Nurse Anesthetist, Certified Registered
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- Certified Registered Nurse Anesthetist
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- NPI 1558517367
MI
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-
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- NPI 1326820143
Hospital & facility affiliations 14
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": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1033801923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 MACK AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 MACK AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012427",
"telephone_number": "313-577-7689"
}
],
"practiceLocations": [
{
"address_1": "1 Genesys Pkwy",
"address_purpose": "LOCATION",
"city": "Grand Blanc",
"state": "MI",
"postal_code": "484398065",
"country_code": "US",
"telephone_number": "810-606-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDWARDS",
"first_name": "NAMI",
"middle_name": "O",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-22",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704336296",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704336296",
"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 May 27, 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.