Active NPI
Maria Midena, DNP, CRNA
- Certified Registered Nurse Anesthetist
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704338437
- Practice address
- 200 Jefferson Ave SE
Grand Rapids, MI 49503-4502 - Phone
- (616) 685-5000
- NPI assigned
- Jul 24, 2022
- 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 | 4704338437 | MI | Primary |
Addresses
Primary practice location
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Mailing address
2524 E Kimmel Rd
Jackson, MI 49201-8724
Other practice location 1
1355 Bogue St
East Lansing, MI 48824-6207
Phone (800) 605-6424
Other practice location 2
1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone (231) 672-2000
Other practice location 3
100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone (616) 364-4200
Other practice location 4
3333 Evergreen Dr NE
Grand Rapids, MI 49525-9493
Phone (616) 364-4200
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
- Michigan State University College of Human Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Michigan Ave NE
Grand Rapids, MI 49503-2560
100 Michigan St NE RM
280 Corewell Health Medical Group West
Grand Rapids, MI 49503-2560
Phone (616) 267-0115
1707 Lake Lansing Rd
Lansing, MI 48912-3742
Phone (517) 267-0033
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (734) 263-2400
212 S Sullivan Ave
Fremont, MI 49412-1548
Phone (231) 924-3300
4069 Lake Dr SE
Grand Rapids, MI 49546-8816
4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600
900 Peeler St
Kalamazoo, MI 49008-2300
Phone (269) 345-8618
Hospital & facility affiliations
- Mercy Health Saint Mary'S
- Bronson Methodist Hospital
- Corewell Health Gerber Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.16 of 100
- Quality
- 95.73
- Improvement activities
- 40
- Cost
- 75.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704338437 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalamazoo Anesthesiology P C | Current | Accepting new patients | |
| Anesthesia Medical Consultants, PC | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Northstar Anesthesia of Michigan II PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| West Michigan Anesthesia, PC | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients |
Locations
100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680
4055 Cascade Rd SE
Grand Rapids, MI 49546
Phone (616) 252-4410
3333 Evergreen Dr NE
Grand Rapids, MI 49525
Phone (616) 284-3132
200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000
900 Peeler St
Kalamazoo, MI 49008
Phone (269) 345-8618
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033
3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063
26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500
5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243
Organizations & group practices 7
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
- Kalamazoo, MI
- NPI 1407821796
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Anesthesiology Physician
- Irving, TX
- NPI 1437268026
MI, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Grand Rapids, MI
- NPI 1124063078
-
- Anesthesiology Physician
- Grand Rapids, MI
- NPI 1063710689
-
- Anesthesiology Physician
- Grand Rapids, MI
- NPI 1225016926
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1831116441
-
- Critical Access Hospital
- Fremont, MI
- NPI 1063836963
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1336874247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2524 E KIMMEL RD",
"city": "JACKSON",
"state": "MI",
"postal_code": "492018724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 JEFFERSON AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034502",
"telephone_number": "616-685-5000"
}
],
"practiceLocations": [
{
"address_1": "1355 Bogue St",
"address_purpose": "LOCATION",
"city": "East Lansing",
"state": "MI",
"postal_code": "488246207",
"country_code": "US",
"telephone_number": "800-605-6424",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 E Sherman Blvd",
"address_purpose": "LOCATION",
"city": "Muskegon",
"state": "MI",
"postal_code": "494441849",
"country_code": "US",
"telephone_number": "231-672-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Michigan St NE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495032560",
"country_code": "US",
"telephone_number": "616-364-4200",
"fax_number": "616-364-7347",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3333 Evergreen Dr NE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495259493",
"country_code": "US",
"telephone_number": "616-364-4200",
"fax_number": "616-364-7347",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIDENA",
"first_name": "MARIA",
"credential": "DNP, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-24",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704338437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.