Individual provider Active NPI

Robert S Wedge, CRNA

  • Certified Registered Nurse Anesthetist
  • Boyne City, MI
National Provider Identifier
1578873105
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704251362 Issued in MI
Practice address
825 Moll Dr
Boyne City, MI 49712-9182
Phone
(231) 497-1031
Fax
(231) 459-4313
NPI assigned
Oct 17, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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 4704251362 MI Primary

Addresses

Primary practice location

825 Moll Dr
Boyne City, MI 49712-9182

Mailing address

37 Hardwood LN
Harbor Springs, MI 49740-8707
Phone (231) 622-2580

Other practice location 1

46325 W Twelve Mile Rd Ste 100
Novi, MI 48377-2457
Phone (248) 618-2121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110317000909 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416130158 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Ann Arbor PLLCGroup PAC ID 1355317223, 213 clinicians

Practice addresses (Care Compare)

46325 W Twelve Mile Rd
Novi, MI 48377-2456
Phone (248) 618-2121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704251362MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Michigan II PC Nurse Anesthetist, Certified Registered CurrentSince Nov 20, 2010 Accepting new patients
Sleepsmith Staffing LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2020 Accepting new patients
Anesthesia Associates of Ann Arbor, PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2025 Accepting new patients
Asa Staffing Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2021 Accepting new patients
Munson Healthcare Cadillac Past Accepting new patients

Locations

2006 Hogback Rd
Ste 5
Ann Arbor, MI 48105
Phone (313) 712-4331

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

825 Moll Dr
Boyne City, MI 49712
Phone (231) 497-1031

740 S Main St
Cheboygan, MI 49721
Phone (231) 627-4361

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

1301 Carpenter Ave
Iron Mountain, MI 49801
Phone (800) 428-8149

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

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

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

46325 W Twelve Mile Rd
Ste 100
Novi, MI 48377
Phone (248) 618-2121

46325 W Twelve Mile Rd
Novi, MI 48377
Phone (248) 465-1200

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

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

230 W Maple Rd
Troy, MI 48084
Phone (248) 244-1500

Organizations & group practices 5

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": "1287273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1578873105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 HARDWOOD LN",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497408707",
            "telephone_number": "231-622-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 MOLL DR",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "497129182",
            "telephone_number": "231-497-1031",
            "fax_number": "231-459-4313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46325 W Twelve Mile Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483772457",
            "country_code": "US",
            "telephone_number": "248-618-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEDGE",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-17",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704251362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boyne City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.