Individual provider Active NPI

Marcia A Lafleur,, NURSE ANESTHETIST

  • Certified Registered Nurse Anesthetist
  • San Antonio, TX
National Provider Identifier
1205863172
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704130263 Issued in MI
Practice address
3551 Roger Brooke Dr
San Antonio, TX 78234-4504
Phone
(253) 539-9582
NPI assigned
Jun 27, 2006
Last updated
May 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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 4704130263 MI Primary

Addresses

Primary practice location

3551 Roger Brooke Dr
San Antonio, TX 78234-4504

Mailing address

255 W Michigan Ave
Jackson, MI 49201-2218
Phone (517) 787-6440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX, MT3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20101111001523 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496940785 Reassigns benefits to 4 organizations
I20230310000926 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496940785 Reassigns benefits to 1 organization
I20230906003749 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496940785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center SaultGroup PAC ID 7315936481, 101 clinicians

Practice addresses (Care Compare)

500 Osborn Blvd
Sault S Marie, MI 49783-1822
Phone (906) 635-4460

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704130263MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Montana Hospital Current Accepting new patients
Northstar Anesthesia of Michigan II PC Nurse Anesthetist, Certified Registered CurrentSince Jan 18, 2023 Accepting new patients
Mymichigan Medical Center Sault CurrentSince Feb 17, 2026 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Mymichigan Medical Center Sault CurrentSince Feb 17, 2026 Accepting new patients
Northern Montana Hospital CurrentSince Sep 5, 2023 Accepting new patients
Northern Montana Hospital CurrentSince Sep 5, 2023 Accepting new patients
Schoolcraft Memorial Hospital Current Accepting new patients
Schoolcraft Memorial Hospital CurrentSince Jan 22, 2021 Accepting new patients
Kalamazoo Anesthesiology P C Past Accepting new patients

Locations

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

7870W US Highway 2
Manistique, MI 49854
Phone (906) 341-2153

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350

30 13th St
Havre, MT 59501
Phone (406) 262-1302

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1205863172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "517-787-6440",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "253-539-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFLEUR,",
        "first_name": "MARCIA",
        "middle_name": "A",
        "credential": "NURSE ANESTHETIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704130263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.