Individual provider Active NPI

Caroline Lillian Thomas, CRNA

  • Certified Registered Nurse Anesthetist
  • Macomb, MI
National Provider Identifier
1427148170
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704185709 Issued in MI
Practice address
46541 Twin City TRL
Macomb, MI 48044-6209
Phone
(586) 463-4085
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704185709 MI Primary

Addresses

Primary practice location

46541 Twin City TRL
Macomb, MI 48044-6209

Mailing address

46541 Twin City TRL
Macomb, MI 48044-6209
Phone (586) 463-4085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110307000680 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840472270 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asa Staffing IncGroup PAC ID 3971898644, 146 clinicians
Henry Ford Health St. John HospitalGroup PAC ID 3173424082, 332 clinicians
Long Lake Anesthesiology Consultants PLCGroup PAC ID 7113818980, 94 clinicians

Practice addresses (Care Compare)

1221 Pine Grove Ave
Port Huron, MI 48060-3511
Phone (810) 987-5000

22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-4000

4550 Investment Dr
Troy, MI 48098-6334
Phone (248) 265-4600

Hospital & facility affiliations

  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704185709MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 1998 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Oct 1, 1998 Accepting new patients
Long Lake Anesthesiology Consultants, PLC CurrentSince Aug 1, 2024 Accepting new patients
Asa Staffing Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2025 Accepting new patients
Superior Anesthetists Associates, Inc. CurrentSince Sep 15, 2018 Accepting new patients
Waterford Surgical Center, LLC Past Accepting new patients

Locations

2009 Momentum Pl
Chicago, IL 60689

7915 Solutions Ctr Dr
Chicago, IL 60677

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

18100 Oakwood Blvd
Ste 100
Dearborn, MI 48124
Phone (313) 240-7668

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

5202 Miller Rd
Flint, MI 48507
Phone (810) 720-8900

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

920 River Centre Dr
Port Huron, MI 48060
Phone (810) 984-5200

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

4550 Investment Dr
Ste 100
Troy, MI 48098
Phone (248) 265-4600

4550 Investment Dr
Troy, MI 48098
Phone (248) 265-4600

Interoperability endpoints

  • Direct secure messaging: cthomas1155506@direct.hfhs.org

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427148170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46541 TWIN CITY TRL",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480446209",
            "telephone_number": "586-463-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46541 TWIN CITY TRL",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480446209",
            "telephone_number": "586-463-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CAROLINE",
        "middle_name": "LILLIAN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704185709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.