Active NPI
Katherine Mascot, CRNA
- Certified Registered Nurse Anesthetist
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704209276
- Practice address
- 4201 Saint Antoine St
Detroit, MI 48201-2153 - Phone
- (313) 745-3607
- NPI assigned
- Nov 21, 2007
- 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 | 4704209276 | MI | Primary |
Addresses
Primary practice location
4201 Saint Antoine St
Detroit, MI 48201-2153
Mailing address
PO Box 67000
Dept 203401
Detroit, MI 48267-0002
Phone (888) 278-4126
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4308672870 | Other | MI | BLUE CROSS OF MI |
| 1346421062 | Medicaid | MI |
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, 2007
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
14050 Dix Toledo Rd
Southgate, MI 48195-2501
Phone (734) 281-0100
5450 Fort St
Trenton, MI 48183-4601
Phone (214) 687-0001
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704209276 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Michigan III PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Wyandotte Hospital | Current | Accepting new patients | |
| Superior Anesthetists Associates, Inc. | Current | Accepting new patients | |
| Northstar Anesthesia of Michigan PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Wyandotte Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Stephen J. Watts, MD, PLLC | Past | Accepting new patients |
Locations
1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
18100 Oakwood Blvd
Ste 100
Dearborn, MI 48124
Phone (313) 240-7668
3990 John R St
Detroit, MI 48201
Phone (313) 745-6211
4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615
6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300
4550 Investment Dr
Troy, MI 48098
Phone (248) 265-4600
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
5450 Fort St
Woodhaven, MI 48183
Phone (734) 671-3297
2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000
Interoperability endpoints
- kmascot738761@direct.hfhs.org
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.
-
- Pain Medicine (Anesthesiology) Physician
- Irving, TX
- NPI 1972126209
MI, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Wyandotte, MI
- NPI 1386679868
-
- Certified Registered Nurse Anesthetist
- Wyandotte, MI
- NPI 1386685212
Nurse Anesthetist, Certified Registered
-
- Specialist
- Troy, MI
- NPI 1831144518
-
- Anesthesiology Physician
- Irving, TX
- NPI 1871986372
MI, Nurse Anesthetist, Certified Registered
-
- Community/Retail Pharmacy
- Brownstown TWP, MI
- NPI 1356356984
-
- Gastroenterology Physician
- Wyandotte, MI
- NPI 1548352412
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wayne, MI
- NPI 1295785285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226016000000",
"number": "1346421062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 67000",
"address_2": "DEPT 203401",
"city": "DETROIT",
"state": "MI",
"postal_code": "482670002",
"telephone_number": "888-278-4126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "313-745-3607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASCOT",
"first_name": "KATHERINE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-21",
"last_updated": "2008-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704209276",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MI",
"identifier": "4308672870",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346421062",
"state": "MI"
}
],
"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 Nov 7, 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.