Individual provider Active NPI

Therese Tanski, CRNA

  • Certified Registered Nurse Anesthetist
  • Novi, MI
National Provider Identifier
1497729461
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704263809 Issued in MI
Practice address
47601 Grand River Ave
Novi, MI 48374-1233
Phone
(248) 465-4100
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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 561897 TX
Certified Registered Nurse Anesthetist 367500000X 4704263809 MI Primary

Addresses

Primary practice location

47601 Grand River Ave
Novi, MI 48374-1233

Mailing address

46236 Barrington Rd
Plymouth, MI 48170-3503
Phone (734) 776-1071

Other practice location 1

135 S Prospect
Anesthesia Department
Ypsilanti, MI 48197
Phone (734) 547-4711

Other practice location 2

8015 Shoal Creek Blvd Ste 300
Austin, TX 78757-8052
Phone (512) 407-8444

Other identifiers 4

IdentifierTypeStateIssuer
002420004MedicaidTX
002420002MedicaidTX
561897OtherTXRN LICENSE
P00145819OtherMEDICARE RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080630000083 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123914918 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Medical GroupGroup PAC ID 8820277015, 191 clinicians
Capital Area Anesthesia PCGroup PAC ID 8628975968, 33 clinicians
Munson Medical CenterGroup PAC ID 3072426287, 377 clinicians

Practice addresses (Care Compare)

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-6000

4100 Park Forest Dr
Traverse City, MI 49684-7331
Phone (231) 392-8900

Hospital & facility affiliations

  • McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167
  • Munson Healthcare Manistee Hospital Hospital, Manistee, MI, CCN 230303
  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704263809MIMDCertified Registered Nurse Anesthetist
561897TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Area Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Oct 26, 2019 Accepting new patients
Munson Medical Center CurrentSince Feb 6, 2025 Accepting new patients
Munson Medical Group CurrentSince Apr 8, 2024 Accepting new patients
Northstar Anesthesia of Michigan II PC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2008 Accepting new patients
Munson Medical Group Current Accepting new patients
Munson Medical Center Nurse Anesthetist, Certified Registered CurrentSince Feb 6, 2025 Accepting new patients
Munson Medical Group CurrentSince Apr 8, 2024 Accepting new patients
PSJ Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2016 Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Baylor College of Medicine Past Accepting new patients
Anesthesiology Consultants of Houston PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Cardiovascular Anesthesiology,P.a. Past Accepting new patients

Locations

2891 Momentum Pl
Chicago, IL 60689

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

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

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

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

47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

1105 Sixth St
Ste 103
Traverse City, MI 49684
Phone (231) 935-6455

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

4100 Park Forest Dr
Traverse City, MI 49684
Phone (231) 392-8900

1200 Sixth St
Ste 200
Traverse City, MI 49684

135 S Prospect St
Ypsilanti, MI 48198
Phone (734) 547-1060

Organizations & group practices 12

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1497729461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46236 BARRINGTON RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703503",
            "telephone_number": "734-776-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47601 GRAND RIVER AVE",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741233",
            "telephone_number": "248-465-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 S Prospect",
            "address_2": "Anesthesia Department",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "48197",
            "country_code": "US",
            "telephone_number": "734-547-4711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8015 Shoal Creek Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787578052",
            "country_code": "US",
            "telephone_number": "512-407-8444",
            "fax_number": "512-407-8097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANSKI",
        "first_name": "THERESE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "561897",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704263809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002420004",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002420002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "561897",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00145819",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

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

Verify at the official NPI Registry.