Individual provider Active NPI

Michelle Y McCaster, CRNA

  • Certified Registered Nurse Anesthetist
  • Detroit, MI
National Provider Identifier
1366741399
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704209908 Issued in MI
Practice address
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone
(800) 653-6568
Fax
(313) 876-1305
NPI assigned
Mar 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704209908 MI Primary
Certified Registered Nurse Anesthetist 367500000X RN266724 OH

Addresses

Primary practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 874-4806

Other practice location 1

5901 Monclova Rd
Maumee, OH 43537-1841
Phone (800) 240-3090

Other identifiers 1

IdentifierTypeStateIssuer
000000709124OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI, PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110428000331 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648455014 Reassigns benefits to 11 organizations
I20170804001122 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648455014 Reassigns benefits to 2 organizations
I20240606003837 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648455014 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

139 Garau St
Bluffton, OH 45817-1027
Phone (419) 358-9010

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704209908MIMDCertified Registered Nurse Anesthetist
RN266724OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Anesthesia Providers, LLC CurrentSince Feb 22, 2024 Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 27, 2022 Accepting new patients
Henry Ford Health System CurrentSince Feb 22, 2023 Accepting new patients
Ams Ohio PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Brookville Hospital Nurse Anesthetist, Certified Registered CurrentSince May 1, 2024 Accepting new patients
Sandusky Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 31, 2022 Accepting new patients
Dayton Anesthesia & Pain Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 16, 2018 Accepting new patients
Cgi Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients
Blanchard Valley Regional Health Center Nurse Anesthetist, Certified Registered CurrentSince Jun 27, 2024 Accepting new patients
Tyrone Hospital CurrentSince May 1, 2024 Accepting new patients
Blanchard Valley Regional Health Center CurrentSince Jun 27, 2024 Accepting new patients
Tyrone Hospital CurrentSince May 1, 2024 Accepting new patients
Radius Anesthesia of Ohio, LLC CurrentSince Nov 1, 2021 Accepting new patients
Blanchard Valley Regional Health Center Current Accepting new patients
Brookville Hospital CurrentSince May 1, 2024 Accepting new patients
Northstar Anesthesia of Ohio LLC CurrentSince Nov 2, 2015 Accepting new patients
Henry Ford Health System Nurse Anesthetist, Certified Registered CurrentSince Feb 22, 2023 Accepting new patients
Anesthesiology Services Network LTD CurrentSince Jan 28, 2020 Accepting new patients
Anupama Shah MD, PLC CurrentSince Jul 1, 2017 Accepting new patients
J C Blair Medical Services Inc Nurse Anesthetist, Certified Registered CurrentSince May 1, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations (25 of 26)

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

1051 S Telegraph Rd
Ste 100
Monroe, MI 48161
Phone (734) 244-5383

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

1400 W Main St
Bellevue, OH 44811
Phone (330) 563-0641

139 Garau St
Bluffton, OH 45817
Phone (419) 358-9010

4746 Montgomery Rd
Cincinnati, OH 45212
Phone (513) 731-5600

7661 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 233-4900

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

1997 W Centerville Rd
Washington Township, OH 45459
Phone (937) 401-6000

465 N Cleveland Ave
Ste 150
Westerville, OH 43082
Phone (614) 562-1546

2907 Bell St
Zanesville, OH 43701
Phone (740) 455-6300

2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000

417 Sabbath Rest Rd
Ste 3
Altoona, PA 16601
Phone (814) 940-8195

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

7651 Lake Raystown Shopping Ctr
Huntingdon, PA 16652
Phone (814) 643-8485

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

Organizations & group practices 23

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 23

Hospital & facility affiliations 2

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": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1366741399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-874-4806",
            "fax_number": "313-876-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "800-653-6568",
            "fax_number": "313-876-1305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 Monclova Rd",
            "address_purpose": "LOCATION",
            "city": "Maumee",
            "state": "OH",
            "postal_code": "435371841",
            "country_code": "US",
            "telephone_number": "800-240-3090",
            "fax_number": "304-387-5215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCASTER",
        "first_name": "MICHELLE",
        "middle_name": "Y",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-16",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704209908",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN266724",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000709124",
            "state": "OH"
        }
    ],
    "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 22, 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.

Verify at the official NPI Registry.