Active NPI
Michele Hubert Waldron, CRNA
- Certified Registered Nurse Anesthetist
- Shelby TWP, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704136171
- Practice address
- 47700 Robin St
Shelby TWP, MI 48317-2458 - Phone
- (586) 419-4493
- NPI assigned
- Mar 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 4704136171 | MI | Primary |
Addresses
Primary practice location
47700 Robin St
Shelby TWP, MI 48317-2458
Mailing address
47700 Robin St
Shelby TWP, MI 48317-2458
Phone (586) 419-4493
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4593678 | Medicaid | MI | |
| 430F364420 | Other | MI | BCBSM |
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, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
230 W Maple Rd
Troy, MI 48084-5471
Phone (248) 244-1500
6240 Rashelle Dr
Suite 101
Flint, MI 48507-3938
Phone (810) 600-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704136171 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Straith Hospital for Special Surgery | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Straith Hospital for Special Surgery | Current | Accepting new patients | |
| The Digestive Endoscopy Center of Michigan LLC | Current | Accepting new patients | |
| The Digestive Endoscopy Center of Michigan LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ambulatory Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Straith Hospital for Special Surgery | Current | Accepting new patients | |
| Gastrointestinal Specialists PC | Past | Accepting new patients | |
| Straith Hospital for Special Surgery | Past | Accepting new patients |
Locations
6240 Rashelle Dr
Ste 101
Flint, MI 48507
Phone (810) 600-4000
23901 Lahser Rd
Southfield, MI 48033
Phone (248) 357-3360
230 W Maple Rd
Troy, MI 48084
Phone (248) 244-1500
33545 Cherry Hill Rd
#O
Westland, MI 48186
Phone (734) 729-7960
33545 Cherry Hill Rd
Westland, MI 48186
Phone (734) 595-1166
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.
-
- Anesthesiology Physician
- Monroe, MI
- NPI 1952350555
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Flint, MI
- NPI 1477861045
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Southfield, MI
- NPI 1548268436
-
- Behavior Analyst
- Southfield, MI
- NPI 1467296277
-
- Anesthesiology Physician
- Southfield, MI
- NPI 1881743417
Nurse Anesthetist, Certified Registered
-
dba Crowne Point Endoscopy & Surgery Center
- Ambulatory Surgical Clinic/Center
- Flint, MI
- NPI 1629173075
-
- Gastroenterology Physician
- Troy, MI
- NPI 1780750125
-
- General Acute Care Hospital
- Southfield, MI
- NPI 1710037221
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": "1558483200000",
"number": "1427025477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47700 ROBIN ST",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483172458",
"telephone_number": "586-419-4493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47700 ROBIN ST",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483172458",
"telephone_number": "586-419-4493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDRON",
"first_name": "MICHELE",
"middle_name": "HUBERT",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704136171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4593678",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "430F364420",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelby TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.