Active NPI
Deana L McCutcheon, CRNA
- Certified Registered Nurse Anesthetist
- Rochester Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704317883
- Practice address
- 1701 South Blvd E Ste 300
Rochester Hills, MI 48307-6120 - Phone
- (517) 273-4695
- Fax
- (304) 422-3924
- NPI assigned
- Oct 5, 2005
- Last updated
- Mar 7, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704317883 | MI | Primary |
Addresses
Primary practice location
1701 South Blvd E Ste 300
Rochester Hills, MI 48307-6120
Mailing address
3211 Dudley Ave
Parkersburg, WV 26104-1813
Phone (304) 422-3904
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2366621 | Medicaid | OH | |
| 1104813021 | Other | MI | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 S Blvd E
Suite 300
Rochester Hills, MI 48307-6120
Phone (248) 844-9710
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparrow Ionia Hospital | Single Specialty | Current | Accepting new patients |
| Sparrow Clinton Hospital | Single Specialty | Current | Accepting new patients |
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| Pinnacle Anesthesia PLLC | Single Specialty | Current | Accepting new patients |
| Sparrow Clinton Hospital | Single Specialty | Current | Accepting new patients |
| Sparrow Clinton Hospital | Single Specialty | Current | Accepting new patients |
| Edward W. Sparrow Hospital Association | Single Specialty | Current | Accepting new patients |
| Sparrow Clinton Hospital | Single Specialty | Current | Accepting new patients |
| Northstar Anesthesia of Michigan II PC | Single Specialty | Current | Accepting new patients |
| Sparrow Ionia Hospital | Single Specialty | Current | Accepting new patients |
| Sparrow Ionia Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lake Lansing ASC Partners LLC | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
1650 Ramblewood Dr
East Lansing, MI 48823
Phone 5173321200 ext. 248
168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451
550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600
1200 E Michigan Ave
Ste 370
Lansing, MI 48912
Phone (517) 364-5300
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033
3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063
26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500
1701 South Blvd E
Ste 300
Rochester Hills, MI 48307
Phone (248) 844-9710
805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881
50438 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 726-8423
Organizations & group practices 12
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.
-
dba Sparrow CRNA Services
- Anesthesiology Physician
- Lansing, MI
- NPI 1366498107
Single Specialty
-
dba University of Michigan Health-Sparrow Clinton
- Critical Access Hospital
- Saint Johns, MI
- NPI 1093809824
Single Specialty
-
dba University of Michigan Health-Sparrow Clinton Hospital Emergency Depar
- Emergency Medicine Physician
- Saint Johns, MI
- NPI 1396827952
Single Specialty
-
dba University of Michigan Health-Sparrow Ionia
- Critical Access Hospital
- Ionia, MI
- NPI 1700820065
Single Specialty
-
- Anesthesiology Physician
- Irving, TX
- NPI 1437268026
MI, Single Specialty
-
dba University of Michigan Health-Sparrow
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
-
dba SMG St Johns
- Multi-Specialty Clinic/Center
- Saint Johns, MI
- NPI 1306893078
Single Specialty
-
dba Sparrow Clinton Hospital CRNA Services
- Certified Registered Nurse Anesthetist
- Saint Johns, MI
- NPI 1326138173
Single Specialty
-
dba Sparrow Medical Group Ionia
- Family Medicine Physician
- Ionia, MI
- NPI 1033271143
Single Specialty
-
dba Sparrow Ionia Hospital Crna Services
- Certified Registered Nurse Anesthetist
- Ionia, MI
- NPI 1710900659
Nurse Anesthetist, Certified Registered
-
dba Lansing Surgical Center
- Ambulatory Surgical Clinic/Center
- Lansing, MI
- NPI 1790886372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1104813021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3211 DUDLEY AVE",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261041813",
"telephone_number": "304-422-3904",
"fax_number": "304-422-3924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 SOUTH BLVD E STE 300",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483076120",
"telephone_number": "517-273-4695",
"fax_number": "304-422-3924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCUTCHEON",
"first_name": "DEANA",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-05",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704317883",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2366621",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1104813021",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.