Bobbi Blakeslee, RN

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

148330 Issued in NY

Practice address

1105 Sixth St
Traverse City, MI 49684-2386

Phone

(231) 935-5000

NPI assigned

Feb 28, 2024

Sex

Female

Sole proprietor

Yes

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.

• Munson Medical Center

  • Anesthesiology Physician
  • Traverse City, MI
  • NPI 1710735287

  MI, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Munson Medical Group

  • Cardiovascular Disease Physician
  • Traverse City, MI
  • NPI 1821398322

  MI

  Medicare reassignment Care Compare group NPD
• Munson Medical Center

  • Endocrinology, Diabetes & Metabolism Physician
  • Traverse City, MI
  • NPI 1083761860
  Care Compare group
• Munson Medical Center

  • Rehabilitation Hospital Unit
  • Traverse City, MI
  • NPI 1104080621
  Care Compare group
• Munson Medical Center

  • Home Infusion Therapy Pharmacy
  • Traverse City, MI
  • NPI 1134205032
  Care Compare group
• Munson Medical Center

  • Specialty Pharmacy
  • Traverse City, MI
  • NPI 1194425447
  Care Compare group
• Munson Medical Center

  • Audiologist
  • Traverse City, MI
  • NPI 1306097167
  Care Compare group
• Munson Medical Center

  • Sleep Medicine (Internal Medicine) Physician
  • Traverse City, MI
  • NPI 1336175165
  Care Compare group
• Munson Medical Center

  • Radiation Oncology Physician
  • Traverse City, MI
  • NPI 1376097733
  Care Compare group
• Munson Medical Center

  • Social Worker
  • Traverse City, MI
  • NPI 1386672665
  Care Compare group
• Munson Medical Center

  • Nurse Practitioner
  • Traverse City, MI
  • NPI 1477581759
  Care Compare group
• Munson Medical Center

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1881623031
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Munson Medical Center

  • General Acute Care Hospital
  • Traverse City, MI
  • NPI 1952307852

  Hospital

  Care Compare affiliation

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Munson Medical Group 191 clinicians

Munson Medical Center 377 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Munson Medical Center Hospital, Traverse City, MI, CCN 230097

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

• Bobbi Brady Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 8, 2024.

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1609633486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 COLTON AVE",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142182635",
            "telephone_number": "716-395-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 SIXTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842386",
            "telephone_number": "231-935-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKESLEE",
        "first_name": "BOBBI",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704412619",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "148330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOBBI",
            "last_name": "BRADY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Anne Renee Black, LLPC
• Jasmine Black
• Shawn Michael Black, M.S., P.T.
• Roxanne Ranae Blackford
• Brittany Kaye Blackmer
• Troy J Blasius, ATC
• Kathleen Mhein Blazejewski, LCSW
• Paul Blesh
• Earlene Wilhelm Blevins, LPC
• Lydia Janette Bloem, LLMSW

• All providers in Traverse City, MI
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.