Nicole Ann Dub

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704294474 Issued in MI

Practice address

1 Hurley PLZ
Flint, MI 48503

Phone

(810) 262-9000

NPI assigned

Aug 2, 2018

Last updated

Sep 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Associates of Ann Arbor PLLCGroup PAC ID 1355317223, 213 clinicians

Henry Ford West Bloomfield HospitalGroup PAC ID 2264589449, 83 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Lapeer Region Hospital, Lapeer, MI, CCN 230193

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ndub606793@direct.hfhs.org

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.

• Anesthesia Associates of Ann Arbor, PLLC

  • Anesthesiology Physician
  • Westland, MI
  • NPI 1669581997

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Henry Ford West Bloomfield Hospital

  • Anesthesiology Physician
  • West Bloomfield, MI
  • NPI 1518104686
  Medicare reassignment Care Compare group
• Henry Ford Health System

  • Certified Registered Nurse Anesthetist
  • Detroit, MI
  • NPI 1871666479

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Hurley Medical Center

  dba Hurley CRNA Group

  • Certified Registered Nurse Anesthetist
  • Flint, MI
  • NPI 1558397653

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Henry Ford Health System

  • Community/Retail Pharmacy
  • Plymouth, MI
  • NPI 1942931720
  NPD
• Hurley Medical Center

  • Plastic and Reconstructive Surgery Physician
  • Flint, MI
  • NPI 1689345761
  NPD

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

• McLaren Lapeer Region

  dba McLaren HealthCare Corporation

  • General Acute Care Hospital
  • Lapeer, MI
  • NPI 1205824737
  Care Compare affiliation

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1245718105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42089 SARATOGA CIR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873569",
            "telephone_number": "586-855-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLZ",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48503",
            "telephone_number": "810-262-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUB",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704294474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drivers Dynamic
• Nicole Marie Droomer, L.L.M.S.W.
• Tabitha Kathleen Drummond
• Reatha Darlene Drwal, PSYCHOLOGIST
• Pamela Kay Duane
• Joshua Dubie, LLMSW
• Joanne Dubuis
• Carolynn Duby, MSW
• Ducre Care
• Michael Maurice Ducre I

• Certified Registered Nurse Anesthetist in Flint, MI
• Providers in Flint, MI by specialty
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.