Individual provider Active NPI

Michael Cosgrove, CRNA

  • Certified Registered Nurse Anesthetist
  • Northville, MI
National Provider Identifier
1437129442
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704153806 Issued in MI
Practice address
45209 Oak Forest Dr
Northville, MI 48168-4440
Phone
(734) 241-3891
Fax
(734) 214-0014
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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 4704153806 MI Primary

Addresses

Primary practice location

45209 Oak Forest Dr
Northville, MI 48168-4440

Mailing address

45209 Oak Forest Dr
Northville, MI 48168-4440
Phone (734) 241-3891

Other practice location 1

33400 6 Mile Rd Ste B
Livonia, MI 48152-3165
Phone (734) 452-7111

Other identifiers 2

IdentifierTypeStateIssuer
4315465 10MedicaidMI
430H249070OtherMIBCBS PIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061114000051 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810899168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ASC Services of Michigan LLCGroup PAC ID 3971733569, 14 clinicians
Midwest Anesthesia Resources, Inc.Group PAC ID 3476455726, 14 clinicians

Practice addresses (Care Compare)

33400 6 Mile Rd
Suite B
Livonia, MI 48152-3165
Phone (734) 452-7111

3455 Livernois Rd
Troy, MI 48083-5063
Phone (248) 619-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704153806MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
William Beaumont Hospital CurrentSince Jan 1, 1989 Accepting new patients
William Beaumont Hospital Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 1989 Accepting new patients
Midwest Anesthesia Resources, Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 1997 Accepting new patients

Locations

701 S Ballenger Hwy
Flint, MI 48532
Phone (810) 238-3603

4495 Town Center Pkwy
Flint, MI 48532
Phone (810) 244-3937

33400 6 Mile Rd
Ste B
Livonia, MI 48152
Phone (734) 452-7111

3601 W 13 Mile Rd
Royal Oak, MI 48073

3455 Livernois Rd
Troy, MI 48083
Phone (248) 619-2020

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1437129442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45209 OAK FOREST DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481684440",
            "telephone_number": "734-241-3891",
            "fax_number": "734-214-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45209 OAK FOREST DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481684440",
            "telephone_number": "734-241-3891",
            "fax_number": "734-214-0014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33400 6 Mile Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481523165",
            "country_code": "US",
            "telephone_number": "734-452-7111",
            "fax_number": "734-568-9295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSGROVE",
        "first_name": "MICHAEL",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704153806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4315465 10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "430H249070",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.