Individual provider Active NPI

Beth Crofut, CRNA

  • Certified Registered Nurse Anesthetist
  • Bingham Farms, MI
National Provider Identifier
1104884170
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704236481 Issued in MI
Practice address
30200 Telegraph Rd
Suite 220
Bingham Farms, MI 48025-4502
Phone
(248) 258-5058
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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 4704236481 MI Primary

Addresses

Primary practice location

30200 Telegraph Rd
Suite 220
Bingham Farms, MI 48025-4502

Mailing address

806 Greenwich Dr
Grand Ledge, MI 48837-2412

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060320000444 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254348014 Reassigns benefits to 4 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
Northstar Anesthesia of Michigan II PCGroup PAC ID 7911895164, 22 clinicians
Celebrity Anesthesia Staffing LLCGroup PAC ID 3678987534, 26 clinicians

Practice addresses (Care Compare)

3400 E Jolly Rd
Lansing, MI 48910-8542
Phone (517) 272-1063

7276 Huron Ave
Lexington, MI 48450-8324
Phone (512) 593-1945

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704236481MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Celebrity Anesthesia Staffing LLC Anesthesiology CurrentSince Jan 23, 2024 Accepting new patients
Northstar Anesthesia of Michigan III PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 14, 2024 Accepting new patients
Northstar Anesthesia of Michigan II PC Anesthesiology CurrentSince Mar 1, 2006 Accepting new patients

Locations

917 W Washington Blvd
Chicago, IL 60607
Phone (312) 248-3655

1090 Trowbridge Rd
Ste A
East Lansing, MI 48823
Phone (517) 220-0240

1179 East Paris Ave SE
Ste E200
Grand Rapids, MI 49546
Phone (616) 975-9100

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063

1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033

26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1104884170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 GREENWICH DR",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488372412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 TELEGRAPH RD",
            "address_2": "SUITE 220",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254502",
            "telephone_number": "248-258-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROFUT",
        "first_name": "BETH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704236481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.