Individual provider Active NPI

Deana L McCutcheon, CRNA

  • Certified Registered Nurse Anesthetist
  • Rochester Hills, MI
National Provider Identifier
1104813021
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704317883 Issued in MI
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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 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

IdentifierTypeStateIssuer
2366621MedicaidOH
1104813021OtherMINPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160222000435 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446321822 Reassigns benefits to 6 organizations

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
Pinnacle Anesthesia PLLCGroup PAC ID 8628471190, 37 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Ionia Hospital Single Specialty CurrentSince Aug 31, 2019 Accepting new patients
Sparrow Clinton Hospital Single Specialty Current Accepting new patients
Edward W Sparrow Hospital Association CurrentSince May 16, 2023 Accepting new patients
Pinnacle Anesthesia PLLC Single Specialty CurrentSince Nov 1, 2021 Accepting new patients
Sparrow Clinton Hospital Single Specialty CurrentSince Aug 31, 2019 Accepting new patients
Sparrow Clinton Hospital Single Specialty CurrentSince Aug 31, 2019 Accepting new patients
Edward W. Sparrow Hospital Association Single Specialty CurrentSince May 16, 2023 Accepting new patients
Sparrow Clinton Hospital Single Specialty Current Accepting new patients
Northstar Anesthesia of Michigan II PC Single Specialty CurrentSince Feb 22, 2016 Accepting new patients
Sparrow Ionia Hospital Single Specialty Current Accepting new patients
Sparrow Ionia Hospital Nurse Anesthetist, Certified Registered CurrentSince Aug 31, 2019 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.

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.

Verify at the official NPI Registry.