Individual provider Active NPI

Tarra Michelle Voigtman, CRNA

  • Certified Registered Nurse Anesthetist
  • Hillsdale, MI
National Provider Identifier
1467888941
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704290886 Issued in MI
Practice address
168 S Howell St
Hillsdale, MI 49242-2040
Phone
(517) 437-4451
NPI assigned
Sep 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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 4704290886 MI Primary

Addresses

Primary practice location

168 S Howell St
Hillsdale, MI 49242-2040

Mailing address

357 Pondview St
Saline, MI 48176-1130
Phone (570) 971-7060

Other identifiers 1

IdentifierTypeStateIssuer
4704290886OtherMINURSE ANESTHESIA SPECIALTY CERTIFICATION

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131212000296 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850528167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Mary Mercy Hospital CrnaGroup PAC ID 8820163538, 41 clinicians

Practice addresses (Care Compare)

36475 5 Mile Rd
Livonia, MI 48154-1971
Phone (734) 655-2909

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704290886MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Michigan II PC Nurse Anesthetist, Certified Registered CurrentSince Sep 16, 2013 Accepting new patients
St Mary Mercy Hospital Crna Nurse Anesthetist, Certified Registered CurrentSince Jan 15, 2016 Accepting new patients

Locations

350 E Devon Ave
Itasca, IL 60143

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033

3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500

Organizations & group practices 2

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": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1467888941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 PONDVIEW ST",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761130",
            "telephone_number": "570-971-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 S HOWELL ST",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492422040",
            "telephone_number": "517-437-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOIGTMAN",
        "first_name": "TARRA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704290886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE ANESTHESIA SPECIALTY CERTIFICATION",
            "identifier": "4704290886",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.