Individual provider Active NPI

Kristen Ruczynski, CRNA

  • Certified Registered Nurse Anesthetist
  • Royal Oak, MI
National Provider Identifier
1285020735
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704285005 Issued in MI
Practice address
445 Linden Ave
Royal Oak, MI 48073-3621
Phone
(989) 289-4330
NPI assigned
Apr 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704285005 MI
Certified Registered Nurse Anesthetist 367500000X 4704285005 MI Primary

Addresses

Primary practice location

445 Linden Ave
Royal Oak, MI 48073-3621

Mailing address

445 Linden Ave
Royal Oak, MI 48073-3621
Phone (989) 289-4330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151118001756 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305146630 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health Rochester HospitalGroup PAC ID 8820994098, 104 clinicians
Henry Ford Health Macomb Oakland HospitalGroup PAC ID 7315859725, shared by 8 NPIs, 155 clinicians
Pinnacle Anesthesia PLLCGroup PAC ID 8628471190, 37 clinicians

Practice addresses (Care Compare)

1101 W University Dr
Rochester, MI 48307-1863
Phone (248) 652-5000

11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone (586) 573-5000

1701 S Blvd E
Suite 300
Rochester Hills, MI 48307-6120
Phone (248) 844-9710

27351 Dequindre Rd
Madison Heights, MI 48071-3487
Phone (248) 967-7000

Hospital & facility affiliations

  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Macomb Endoscopy Center, PLC CurrentSince Jan 1, 2022 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital Nurse Anesthetist, Certified Registered CurrentSince Oct 19, 2015 Accepting new patients
Henry Ford Health Rochester Hospital Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2021 Accepting new patients
Surgical Centers of Michigan, LLC. Current Accepting new patients
Macomb Endoscopy Center PLC Current Accepting new patients
Henry Ford Health Rochester Hospital CurrentSince Jan 1, 2021 Accepting new patients
Henry Ford Health River District Hospital CurrentSince Dec 23, 2016 Accepting new patients
Pinnacle Anesthesia PLLC CurrentSince Jan 1, 2022 Accepting new patients
Surgical Centers of Michigan, LLC CurrentSince Jan 1, 2022 Accepting new patients
Henry Ford Health Macomb Oakland Hospital Nurse Anesthetist, Certified Registered CurrentSince Oct 19, 2015 Accepting new patients
Henry Ford Health River District Hospital Nurse Anesthetist, Certified Registered CurrentSince Dec 23, 2016 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Oct 19, 2015 Accepting new patients
Asa Staffing Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2019 Accepting new patients

Locations

7920 Solutions Ctr Dr
Chicago, IL 60677

7967 Solutions Ctr Dr
Chicago, IL 60677

7560 Solutions Ctr
Chicago, IL 60677

7924 Solutions Ctr Dr
Chicago, IL 60677

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

4100 S River Rd
East China, MI 48054
Phone (810) 329-6677

48801 Romeo Plank Rd
Ste 101
Macomb, MI 48044
Phone (586) 726-8423

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

1701 South Blvd E
Ste 300
Rochester Hills, MI 48307
Phone (248) 844-9710

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

50438 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 726-8423

4600 Investment Dr
Ste 270
Troy, MI 48098
Phone (248) 267-6222

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

Interoperability endpoints

  • Direct secure messaging: kruczynski1149730@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4

Organizations & group practices 13

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 13

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": "1428710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1285020735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 LINDEN AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733621",
            "telephone_number": "989-289-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 LINDEN AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733621",
            "telephone_number": "989-289-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCZYNSKI",
        "first_name": "KRISTEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-11",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704285005",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704285005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.