Active NPI
Melanie S Blasingim, CRNA
- Certified Registered Nurse Anesthetist
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704281467
- Practice address
- 1500 E Medical Center Dr
1H247 University Hospital
Ann Arbor, MI 48109-5048 - Phone
- (734) 936-4280
- NPI assigned
- Oct 5, 2006
- Last updated
- Nov 3, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN273569 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704281467 | MI | Primary |
Addresses
Primary practice location
1500 E Medical Center Dr
1H247 University Hospital
Ann Arbor, MI 48109-5048
Mailing address
3621 S State St
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104950298 | Other | MI | MICHIGAN MEDICAID |
| 2707235 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mblasingim21776@epicdirect.promedica.org |
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, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 E Medical Ctr Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-4000
4270 Plymouth Rd
Ann Arbor, MI 48109-2700
Phone (734) 936-4000
5640 N Adrian Hwy
Adrian, MI 49221-8318
Phone (419) 291-4491
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN273569 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asa Staffing Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Regents of the University of Michigan | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Promedica Central Corporation of Michigan | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients |
Locations
5640 N Adrian Hwy
Adrian, MI 49221
Phone (419) 291-3000
818 Riverside Ave
Adrian, MI 49221
Phone (517) 263-0711
1500 E Medical Center Dr
#1H247
Ann Arbor, MI 48109
Phone (734) 936-4280
3621 S State St
#700
Ann Arbor, MI 48108
4270 Plymouth Rd
Ann Arbor, MI 48109
Phone (734) 232-3000
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883
5200 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-1305
100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Ann Arbor, MI
- NPI 1528010428
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Rochester, MI
- NPI 1114378981
Nurse Anesthetist, Certified Registered
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Adrian, MI
- NPI 1972564730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1174619530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"address_2": "700 KMS PLACE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48108",
"telephone_number": "734-936-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E MEDICAL CENTER DR",
"address_2": "1H247 UNIVERSITY HOSPITAL",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095048",
"telephone_number": "734-936-4280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLASINGIM",
"first_name": "MELANIE",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN273569",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704281467",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN MEDICAID",
"identifier": "104950298",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2707235",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mblasingim21776@epicdirect.promedica.org",
"affiliation": "N",
"address_1": "100 Madison Ave",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436041516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.