Individual provider Active NPI

Lori C Kushner, CRNA

  • Certified Registered Nurse Anesthetist
  • Clinton TWP, MI
National Provider Identifier
1255432142
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704131763 Issued in MI
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

Updated by the provider on Jul 8, 2007

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 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

IdentifierTypeStateIssuer
4402506MedicaidMI
LK131763OtherMIBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040623000667 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163407172 Reassigns benefits to 12 organizations

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
Apollo Medical Group of Michigan PLLCGroup PAC ID 6103354329, 24 clinicians
Midwest Anesthesia Resources, Inc.Group PAC ID 3476455726, 14 clinicians

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

LicenseStateTypeSpecialty
4704131763MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Macomb Anesthesia, PC CurrentSince Mar 17, 2020 Accepting new patients
Surgical Centers of Michigan, LLC. Current Accepting new patients
Surgical Centers of Michigan, LLC CurrentSince Jan 26, 2021 Accepting new patients
Southfield Rehabilitation Company CurrentSince Dec 11, 2017 Accepting new patients
Apollo Medical Group of Traverse City PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 27, 2023 Accepting new patients
Memorial Hospital Nurse Anesthetist, Certified Registered CurrentSince Aug 22, 2022 Accepting new patients
Eastern District Anesthesiology PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients
Huron Gastroenterology Associates PC CurrentSince Jan 1, 2023 Accepting new patients
Macomb Endoscopy Center, PLC CurrentSince Jan 26, 2021 Accepting new patients
Southfield Rehabilitation Company Nurse Anesthetist, Certified Registered CurrentSince Dec 11, 2017 Accepting new patients
Asa Staffing Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 7, 2017 Accepting new patients
Memorial Hospital Nurse Anesthetist, Certified Registered CurrentSince Aug 22, 2022 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Mar 20, 2002 Accepting new patients
Apollo Medical Group of Michigan PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 6, 2025 Accepting new patients
Huron Gastroenterology Associates PC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Macomb Endoscopy Center PLC Current Accepting new patients
Henry Ford Macomb Hospital Corporation Nurse Anesthetist, Certified Registered CurrentSince Mar 20, 2002 Accepting new patients
Midwest Anesthesia Resources, Inc. Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2024 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

  • Direct secure messaging: lkushner3220@direct.hfhs.org
  • FHIR API: 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.

View all 18

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.

Verify at the official NPI Registry.