Active NPI
Melissa McCarthy
- Certified Registered Nurse Anesthetist
- Grosse Pointe Farms, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704271303
- Practice address
- 159 Kercheval Ave
Grosse Pointe Farms, MI 48236-3610 - Phone
- (800) 653-6568
- NPI assigned
- Mar 23, 2015
- Last updated
- Jan 13, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN643881 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704271303 | MI | Primary |
| Registered Nurse | 163W00000X | 4704271303 | MI |
Addresses
Primary practice location
159 Kercheval Ave
Grosse Pointe Farms, MI 48236-3610
Mailing address
100 E Lancaster Ave
Wynnewood, PA 19096-3450
Phone (484) 476-2000
Other practice location 1
100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 476-3000
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, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1215 E Michigan Ave
SMG Anesthesiology
Lansing, MI 48912-1811
Phone (517) 253-3050
159 Kercheval Ave
Grosse Pointe Farms, MI 48236-3610
Phone (313) 640-1000
468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (214) 687-0001
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Nsa Pain Services of Michigan III, PLLC | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients | |
| Northstar Anesthesia of Michigan III PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
7915 Solutions Ctr Dr
Chicago, IL 60677
8175 Reliable Pkwy
Chicago, IL 60686
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
159 Kercheval Ave
Grosse Pointe Farms, MI 48236
Phone (313) 640-1000
468 Cadieux Rd
Grosse Pointe Woods, MI 48230
Phone (313) 343-1000
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
3601 W 13 Mile Rd
Royal Oak, MI 48073
10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
Interoperability endpoints
- mmccarthy19286@direct.hfhs.org
Organizations & group practices 8
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.
-
dba Sparrow CRNA Services
- Anesthesiology Physician
- Lansing, MI
- NPI 1366498107
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Detroit, MI
- NPI 1871666479
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Irving, TX
- NPI 1972126209
MI, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Detroit, MI
- NPI 1598896995
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Taylor, MI
- NPI 1376169524
-
dba University of Michigan Health-Sparrow
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
dba St John Hospital and Medical Center
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Michigan Health-Sparrow Lansing
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
dba Thoracic Cardiovascular Institute
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1205220761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E LANCASTER AVE",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963450",
"telephone_number": "484-476-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 KERCHEVAL AVE",
"city": "GROSSE POINTE FARMS",
"state": "MI",
"postal_code": "482363610",
"telephone_number": "800-653-6568"
}
],
"practiceLocations": [
{
"address_1": "100 E Lancaster Ave",
"address_purpose": "LOCATION",
"city": "Wynnewood",
"state": "PA",
"postal_code": "19096",
"country_code": "US",
"telephone_number": "484-476-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCARTHY",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-23",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN643881",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704271303",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704271303",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grosse Pointe Farms, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.