Active NPI
Kelly Jean Sims, CRNA
- Certified Registered Nurse Anesthetist
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704273395
- Practice address
- 6071 W Outer Dr
Detroit, MI 48235-2624 - Phone
- (313) 993-2966
- NPI assigned
- Feb 2, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704273395 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704273395 | MI | Primary |
Addresses
Primary practice location
6071 W Outer Dr
Detroit, MI 48235-2624
Mailing address
28891 Oak Point Dr
Farmington Hills, MI 48331-2711
Phone (248) 798-9347
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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
130 Town Ctr Dr
Troy, MI 48084-1744
Phone (248) 593-9780
1701 S Blvd E
Suite 300
Rochester Hills, MI 48307-6120
Phone (248) 844-9710
19401 Hubbard Dr
Dearborn, MI 48126-2641
Phone (313) 982-8100
2300 Haggerty Rd
Suite 2100
West Bloomfield, MI 48323-2191
Phone (248) 624-7246
4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-3615
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704273395 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Michigan PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novi Aas LLC | Current | Accepting new patients | |
| West Michigan Aas LLC | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Michigan Interventional Pain Associates PLLC | Current | Accepting new patients | |
| Napswell LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Pinnacle Anesthesia PLLC | Current | Accepting new patients |
Locations
19401 Hubbard Dr
Dearborn, MI 48126
Phone (313) 982-8100
3990 John R St
Detroit, MI 48201
Phone (313) 745-6211
4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300
4024 Park East Ct SE
Grand Rapids, MI 49546
Phone (231) 592-3102
3800 Centennial Dr
Grass Lake, MI 49240
Phone (517) 701-3100
1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033
43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658
25500 Meadowbrook Rd
Ste 110
Novi, MI 48375
Phone (248) 477-0220
1701 South Blvd E
Ste 300
Rochester Hills, MI 48307
Phone (248) 844-9710
50438 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 726-8423
29201 Telegraph Rd
Ste 315
Southfield, MI 48034
Phone (248) 281-0028
130 Town Center Dr
Ste 106
Troy, MI 48084
Phone (248) 593-9780
1560 E Maple Rd
#100
Troy, MI 48083
Phone (248) 817-2001
2300 Haggerty Rd
Ste 2100
West Bloomfield, MI 48323
Phone (248) 624-7246
400 10th St E
Waconia, MN 55387
Organizations & group practices 8
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.
-
- Certified Registered Nurse Anesthetist
- Detroit, MI
- NPI 1871666479
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- West Bloomfield, MI
- NPI 1861819161
-
- Anesthesiology Physician
- Macomb, MI
- NPI 1295301133
-
- Anesthesiology Physician
- Novi, MI
- NPI 1295149227
-
- Anesthesiology Physician
- Irving, TX
- NPI 1871986372
MI, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Southfield, MI
- NPI 1295525764
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Novi, MI
- NPI 1598176919
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1760794044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1295125987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28891 OAK POINT DR",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483312711",
"telephone_number": "248-798-9347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6071 W OUTER DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352624",
"telephone_number": "313-993-2966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "KELLY",
"middle_name": "JEAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-02",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704273395",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704273395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.