Active NPI
Lori C Kushner, CRNA
- Certified Registered Nurse Anesthetist
- Clinton TWP, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704131763
- Practice address
- 15855 19 Mile Rd
Clinton TWP, MI 48038-3504 - Phone
- (586) 263-2370
- NPI assigned
- Sep 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704131763 | MI | Primary |
Addresses
Primary practice location
15855 19 Mile Rd
Clinton TWP, MI 48038-3504
Mailing address
25020 S Magdalena St
Harrison TWP, MI 48045-3706
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4402506 | Medicaid | MI | |
| LK131763 | Other | MI | BLUE CROSS |
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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3200 W Centre Ave
Suite 101
Portage, MI 49024-4889
Phone (269) 323-9950
3455 Livernois Rd
Troy, MI 48083-5063
Phone (248) 619-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704131763 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macomb Anesthesia, PC | Current | Accepting new patients | |
| Surgical Centers of Michigan, LLC. | Current | Accepting new patients | |
| Surgical Centers of Michigan, LLC | Current | Accepting new patients | |
| Southfield Rehabilitation Company | Current | Accepting new patients | |
| Apollo Medical Group of Traverse City PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Memorial Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Eastern District Anesthesiology PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Huron Gastroenterology Associates PC | Current | Accepting new patients | |
| Macomb Endoscopy Center, PLC | Current | Accepting new patients | |
| Southfield Rehabilitation Company | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Asa Staffing Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Memorial Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Apollo Medical Group of Michigan PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Huron Gastroenterology Associates PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Macomb Endoscopy Center PLC | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Midwest Anesthesia Resources, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273
43475 Dalcoma Dr
Ste 100
Clinton Twp, MI 48038
Phone (586) 263-5043
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
701 S Ballenger Hwy
Flint, MI 48532
Phone (810) 238-3603
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
48801 Romeo Plank Rd
Ste 101
Macomb, MI 48044
Phone (586) 726-8423
826 W King St
Owosso, MI 48867
Phone (989) 720-2273
3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
3200 W Centre Ave
Ste 101
Portage, MI 49024
Phone (269) 323-9905
1349 S Rochester Rd
Ste 250
Rochester Hills, MI 48307
Phone (248) 601-0040
22401 Foster Winter Dr
Southfield, MI 48075
Phone (248) 423-4100
3663 N Country Dr
Traverse City, MI 49684
Phone (231) 252-1228
3455 Livernois Rd
Troy, MI 48083
Phone (248) 619-2020
4600 Investment Dr
Ste 270
Troy, MI 48098
Phone (248) 267-6222
11012 E 13 Mile Rd
Ste 111
Warren, MI 48093
Phone (586) 558-8470
5300 Elliott Dr
Ypsilanti, MI 48197
Phone (734) 434-6262
Interoperability endpoints
- lkushner3220@direct.hfhs.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 18
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.
-
- Anesthesiology Physician
- Portage, MI
- NPI 1699582593
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Northville, MI
- NPI 1467424465
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Traverse City, MI
- NPI 1467093153
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Rochester, MI
- NPI 1114378981
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Rochester Hills, MI
- NPI 1396397741
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Clinton Township, MI
- NPI 1528130739
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Ypsilanti, MI
- NPI 1144335639
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Clinton Township, MI
- NPI 1639248206
-
- Ambulatory Surgical Clinic/Center
- Macomb, MI
- NPI 1780923128
-
- General Practice Physician
- Owosso, MI
- NPI 1235160532
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Southfield, MI
- NPI 1790785095
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Troy, MI
- NPI 1962463133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255432142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25020 S MAGDALENA ST",
"city": "HARRISON TWP",
"state": "MI",
"postal_code": "480453706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15855 19 MILE RD",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480383504",
"telephone_number": "586-263-2370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSHNER",
"first_name": "LORI",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704131763",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4402506",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "LK131763",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.