Active NPI
Florence Acosta, CRNA
- Certified Registered Nurse Anesthetist
- Royal Oak, MI
National Provider Identifier
1124094271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704201061
- Practice address
- 3601 W 13 Mile Rd
Royal Oak, MI 48073-6769 - Phone
- (248) 577-3517
- NPI assigned
- Feb 28, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 4704201061 | MI | Primary |
Addresses
Primary practice location
3601 W 13 Mile Rd
Royal Oak, MI 48073-6769
Mailing address
130 Town Center Drive, Ste. 203
Beaumont Medical Staff Affairs
Troy, MI 48084-1744
Phone (248) 585-8216
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430F364420 | Other | MI | BCBSM |
| 1124094271 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704201061 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont West Bloomfield ASC LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Beaumont West Bloomfield ASC LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Certified Registered Nurse Anesthetist
- W Bloomfield, MI
- NPI 1275790206
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- West Bloomfield, MI
- NPI 1982802203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441324800000",
"number": "1124094271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 TOWN CENTER DRIVE, STE. 203",
"address_2": "BEAUMONT MEDICAL STAFF AFFAIRS",
"city": "TROY",
"state": "MI",
"postal_code": "480841744",
"telephone_number": "248-585-8216",
"fax_number": "248-585-8266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 W 13 MILE RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736769",
"telephone_number": "248-577-3517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACOSTA",
"first_name": "FLORENCE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-28",
"last_updated": "2015-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704201061",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "430F364420",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124094271",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.