Active NPI
Diane Treza Moschouris
- Certified Registered Nurse Anesthetist
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704294241
- Practice address
- 2799 W Grand Blvd
Detroit, MI 48202-2608 - Phone
- (800) 653-6568
- NPI assigned
- Nov 14, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704294241 | MI | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 812962 | NV |
Addresses
Primary practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Mailing address
29205 Canal St
Novi, MI 48377-1985
Phone (586) 554-4130
Other practice location 1
6245 Inkster Rd
Garden City, MI 48135-4001
Phone (734) 458-3300
Other practice location 2
135 S Prospect St
Ypsilanti, MI 48198-7914
Phone (734) 547-4711
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 Pine Grove Ave
Port Huron, MI 48060-3511
Phone (810) 987-5000
29201 Telegraph Rd
Suite 315
Southfield, MI 48034-7646
Phone (248) 281-0028
4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 839-3000
Hospital & facility affiliations
- Mymichigan Medical Center Midland
- McLaren Macomb
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704294241 | MI | MD | Certified Registered Nurse Anesthetist |
| 812962 | NV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Michigan Aas LLC | Current | Accepting new patients | |
| Miycrnas LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mymichigan Medical Center Midland | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Asa Staffing Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Macomb Anesthesia, PC | Current | Accepting new patients | |
| Ascension Genesys Hospital | Current | Accepting new patients | |
| Jawad a Shah, MD PC | Current | Accepting new patients | |
| Northwestern Services, LLC | Current | Accepting new patients | |
| Jawad a Shah MD PC | Current | Accepting new patients | |
| Northstar Anesthesia of Michigan III PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| PSJ Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Center for Gastrointestinal Health at Health Park LLC | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Michigan Crnas Staffing LLC | Current | Accepting new patients | |
| Henry Ford Health Genesys Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novi Aas LLC | Current | Accepting new patients | |
| Environ Anesthesia, LLC. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northwestern Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Alliance Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| GLPS Staffing Solutions LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations (25 of 28)
7794 Solution Ctr
Chicago, IL 60677
949 National Ave
Ste 151
Lexington, KY 40502
Phone (859) 509-8399
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
43475 Dalcoma Dr
Ste 100
Clinton Twp, MI 48038
Phone (586) 263-5043
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
24420 Ford Rd
Dearborn Heights, MI 48127
Phone (313) 202-9400
30055 Northwestern Hwy
Ste L-60
Farmington Hills, MI 48334
Phone (248) 265-6555
4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152
4800 S Saginaw St
Flint, MI 48507
Phone (810) 275-9108
4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108
4800 S Saginaw St
Ste 1845
Flint, MI 48507
Phone (810) 275-9152
600 Health Park Blvd
Ste E
Grand Blanc, MI 48439
Phone (810) 503-8210
1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733
1 Genesys Pkwy
#H
Grand Blanc, MI 48439
4024 Park East Ct SE
Grand Rapids, MI 49546
Phone (231) 592-3102
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
1030 N Monroe St
Ste 2
Monroe, MI 48162
Phone (734) 682-3309
1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727
25500 Meadowbrook Rd
Ste 110
Novi, MI 48375
Phone (248) 477-0220
43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
326 N Main St
Royal Oak, MI 48067
Phone (248) 584-7600
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
29201 Telegraph Rd
Ste 315
Southfield, MI 48034
Phone (248) 281-0028
Interoperability endpoints
- https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
Organizations & group practices 20
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.
-
- Certified Registered Nurse Anesthetist
- Rochester, MI
- NPI 1114378981
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Southfield, MI
- NPI 1255915757
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Midland, MI
- NPI 1770668683
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Flint, MI
- NPI 1063880052
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Mount Clemens, MI
- NPI 1750797015
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Grand Blanc, MI
- NPI 1558517367
Nurse Anesthetist, Certified Registered
-
- Specialist
- Flint, MI
- NPI 1942402391
-
- Anesthesiology Physician
- Clinton Township, MI
- NPI 1639248206
-
- Anesthesiology Physician
- Novi, MI
- NPI 1851666424
-
- Certified Registered Nurse Anesthetist
- Farmington Hills, MI
- NPI 1215106679
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Novi, MI
- NPI 1598176919
-
- Certified Registered Nurse Anesthetist
- Southfield, MI
- NPI 1275905796
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Shelby Township, MI
- NPI 1184206385
-
- General Acute Care Hospital
- Mount Clemens, MI
- NPI 1316938327
-
- General Acute Care Hospital
- Midland, MI
- NPI 1376973149
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1619446176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29205 CANAL ST",
"city": "NOVI",
"state": "MI",
"postal_code": "483771985",
"telephone_number": "586-554-4130"
},
{
"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": "800-653-6568"
}
],
"practiceLocations": [
{
"address_1": "6245 Inkster Rd",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "MI",
"postal_code": "481354001",
"country_code": "US",
"telephone_number": "734-458-3300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "135 S Prospect St",
"address_purpose": "LOCATION",
"city": "Ypsilanti",
"state": "MI",
"postal_code": "481987914",
"country_code": "US",
"telephone_number": "734-547-4711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSCHOURIS",
"first_name": "DIANE",
"middle_name": "TREZA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-14",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704294241",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NV",
"license": "812962",
"primary": false
}
],
"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 Jul 13, 2026; 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.