Active NPI
Melissa Ann Huck, CRNA
- Certified Registered Nurse Anesthetist
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704229073
- Practice address
- 2799 W Grand Blvd
Detroit, MI 48202-2608 - Phone
- (313) 874-6764
- NPI assigned
- Feb 4, 2010
- Sex
- Female
- 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 | 4704229073 | MI | Primary |
Addresses
Primary practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Mailing address
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 874-6764
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, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Henry Ford Health Macomb Oakland Hospital
Practice addresses (Care Compare)
11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone (586) 573-5000
1221 Pine Grove Ave
Port Huron, MI 48060-3511
Phone (810) 987-5000
22401 Foster Winter Dr
Southfield, MI 48075-3724
Phone (248) 423-5198
27351 Dequindre Rd
Madison Heights, MI 48071-3487
Phone (248) 967-7000
Hospital & facility affiliations
- Henry Ford Health Warren Hospital
- Surgeons Choice Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704229073 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southfield Rehabilitation Company | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Ann Arbor, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health Macomb-Oakland Hospital | Current | Accepting new patients | |
| Henry Ford Health Macomb Oakland Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southfield Rehabilitation Company | Current | Accepting new patients | |
| Henry Ford Health Macomb-Oakland Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
7924 Solutions Ctr Dr
Chicago, IL 60677
7920 Solutions Ctr Dr
Chicago, IL 60677
2006 Hogback Rd
Ste 5
Ann Arbor, MI 48105
Phone (313) 712-4331
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000
22401 Foster Winter Dr
Southfield, MI 48075
Phone (248) 423-4100
11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000
11012 E 13 Mile Rd
Ste 112A
Warren, MI 48093
Phone (586) 573-6880
Organizations & group practices 7
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
-
- Certified Registered Nurse Anesthetist
- Warren, MI
- NPI 1396789434
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Madison Heights, MI
- NPI 1871793505
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Southfield, MI
- NPI 1790785095
Nurse Anesthetist, Certified Registered
-
- Social Worker
- Warren, MI
- NPI 1548609761
-
- Diagnostic Radiology Physician
- Dearborn, MI
- NPI 1285906792
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
-
- General Acute Care Hospital
- Madison Heights, MI
- NPI 1215139233
-
- Diagnostic Radiology Physician
- Dearborn, MI
- NPI 1285906792
Hospital
-
- Ambulatory Surgical Clinic/Center
- Warren, MI
- NPI 1619969540
Hospital
-
- Rehabilitation Hospital Unit
- Southfield, MI
- NPI 1730337601
-
- General Acute Care Hospital
- Southfield, MI
- NPI 1790785095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265241600000",
"number": "1598097339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022608",
"telephone_number": "313-874-6764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022608",
"telephone_number": "313-874-6764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUCK",
"first_name": "MELISSA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-04",
"last_updated": "2010-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704229073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.