Individual provider Active NPI

Mary Gulowski, CRNA

  • Certified Registered Nurse Anesthetist
  • Royal Oak, MI
National Provider Identifier
1285602177
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704155054 Issued in MI
Practice address
3601 W 13 Mile Rd
400 FSC - PCS
Royal Oak, MI 48073-6769
Phone
(248) 423-3144
NPI assigned
Mar 8, 2006
Last updated
Jun 20, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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 4704155054 MI Primary

Addresses

Primary practice location

3601 W 13 Mile Rd
400 FSC - PCS
Royal Oak, MI 48073-6769

Mailing address

3601 W 13 Mile Rd
400 FSC - PCS
Royal Oak, MI 48073-6769
Phone (248) 423-3144

Other identifiers 2

IdentifierTypeStateIssuer
430F364420OtherMIBCBS
3294656MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090204000639 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032273123 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ASC Services of Michigan LLCGroup PAC ID 3971733569, 14 clinicians

Practice addresses (Care Compare)

33400 6 Mile Rd
Suite B
Livonia, MI 48152-3165
Phone (734) 452-7111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Michigan III PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2021 Accepting new patients
Michigan Crnas Staffing LLC CurrentSince Jan 26, 2013 Accepting new patients
Comprehensive Anesthesia & Perioperative Services, Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2016 Accepting new patients
Novi Aas LLC CurrentSince Jun 16, 2014 Accepting new patients
ASC Services of Michigan LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2021 Accepting new patients
Napswell LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2025 Accepting new patients
William Beaumont Hospital CurrentSince Apr 18, 2016 Accepting new patients
William Beaumont Hospital Nurse Anesthetist, Certified Registered CurrentSince Apr 18, 2016 Accepting new patients
Southeastern Michigan Anesthesia Past Accepting new patients
Beaumont West Bloomfield ASC LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Turn Key Anesthesia, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

37399 Garfield Rd
Ste 100
Clinton Twp, MI 48036
Phone (586) 228-5300

28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000

33400 6 Mile Rd
Ste B
Livonia, MI 48152
Phone (734) 452-7111

1030 N Monroe St
Ste 2
Monroe, MI 48162
Phone (734) 682-3309

25500 Meadowbrook Rd
Ste 110
Novi, MI 48375
Phone (248) 477-0220

43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658

3601 W 13 Mile Rd
Royal Oak, MI 48073

3601 W 13 Mile Rd
#400
Royal Oak, MI 48073
Phone (248) 423-2481

29201 Telegraph Rd
Ste 315
Southfield, MI 48034
Phone (248) 281-0028

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

400 10th St E
Waconia, MN 55387

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.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1285602177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W 13 MILE RD",
            "address_2": "400 FSC - PCS",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736769",
            "telephone_number": "248-423-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W 13 MILE RD",
            "address_2": "400 FSC - PCS",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736769",
            "telephone_number": "248-423-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULOWSKI",
        "first_name": "MARY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704155054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "430F364420",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3294656",
            "state": "MI"
        }
    ],
    "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 Jun 20, 2008; 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.