Active NPI
Robert S Wedge, CRNA
- Certified Registered Nurse Anesthetist
- Boyne City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704251362
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704251362 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Michigan II PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sleepsmith Staffing LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Ann Arbor, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Asa Staffing Inc | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Anesthesiology Physician
- Westland, MI
- NPI 1669581997
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Rochester, MI
- NPI 1114378981
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Flint, MI
- NPI 1114463379
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Irving, TX
- NPI 1437268026
MI, Nurse Anesthetist, Certified Registered
-
- Surgery Physician
- Cadillac, MI
- NPI 1336547041
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.