Individual provider Active NPI

Amanda Lynn Murray, CRNA

  • Certified Registered Nurse Anesthetist
  • Novi, MI
National Provider Identifier
1194129718
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704263025 Issued in MI
Practice address
47601 Grand River Ave
Novi, MI 48374-1233
Phone
(248) 830-2616
NPI assigned
Oct 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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 4704263025 MI Primary

Addresses

Primary practice location

47601 Grand River Ave
Novi, MI 48374-1233

Mailing address

47601 Grand River Ave
Novi, MI 48374-1233
Phone (248) 830-2616

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141215002059 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618290008 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sterling Anesthesia Group PLLCGroup PAC ID 5496917593, 8 clinicians

Practice addresses (Care Compare)

5456 15 Mile Rd
Suite 102
Sterling Heights, MI 48310-5110
Phone (586) 939-3304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704263025MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Anesthesia Group PLLC CurrentSince Jun 2, 2019 Accepting new patients
Waterford Anesthesia, PLLC CurrentSince Jul 28, 2019 Accepting new patients
Alliance Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 18, 2019 Accepting new patients
Superior Anesthetists Associates, Inc. CurrentSince Dec 25, 2019 Accepting new patients
Asa Staffing Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 4, 2020 Accepting new patients
Waterford Surgical Center, LLC Past Accepting new patients

Locations

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

5202 Miller Rd
Flint, MI 48507
Phone (810) 720-8900

4800 S Saginaw St
Ste 1845
Flint, MI 48507
Phone (810) 275-9152

1546 Callis Rd
Lapeer, MI 48446
Phone (810) 667-4000

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

2820 Crooks Rd
Ste 200
Rochester Hills, MI 48309
Phone (248) 852-7484

5456 15 Mile Rd
Ste 102
Sterling Hts, MI 48310
Phone (586) 939-3304

4550 Investment Dr
Troy, MI 48098
Phone (248) 265-4600

2885 E Long Lake Rd
Ste B
Troy, MI 48085
Phone (586) 977-7246

1560 E Maple Rd
#100
Troy, MI 48083
Phone (248) 817-2001

5220 Highland Rd
Ste 1
Waterford, MI 48327
Phone (248) 886-5555

5220 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 461-2800

Organizations & group practices 6

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": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1194129718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47601 GRAND RIVER AVE",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741233",
            "telephone_number": "248-830-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47601 GRAND RIVER AVE",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741233",
            "telephone_number": "248-830-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704263025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.