Active NPI
Sally B Gribben-Moe, APRN, CRNA
- Certified Registered Nurse Anesthetist
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704295388
- Practice address
- 2799 W Grand Blvd
Detroit, MI 48202-2689 - Phone
- (313) 916-0450
- NPI assigned
- Jul 7, 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 | 4704295388 | MI | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 3373 | MN |
Addresses
Primary practice location
2799 W Grand Blvd
Detroit, MI 48202-2689
Mailing address
24724 Melody Rd
Warren, MI 48089-4749
Phone (248) 420-3248
Other practice location 1
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-5000
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)
2799 W Grand Boulevard
Detroit, MI 48202-2608
Phone (313) 916-2600
Hospital & facility affiliations
- Henry Ford Health Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704295388 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | 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 |
| Axon Anesthesia Consultants, PLC | Current | Accepting new patients | |
| Henry Ford Health System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| William Beaumont Hospital | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Environ Anesthesia, LLC. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health Macomb Oakland Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Michigan III PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| William Beaumont Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
7924 Solutions Ctr Dr
Chicago, IL 60677
7920 Solutions Ctr Dr
Chicago, IL 60677
949 National Ave
Ste 151
Lexington, KY 40502
Phone (859) 509-8399
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
1375 S Lapeer Rd
Ste 109
Lake Orion, MI 48360
Phone (248) 693-7950
27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000
326 N Main St
Royal Oak, MI 48067
Phone (248) 584-7600
3601 W 13 Mile Rd
Royal Oak, MI 48073
5400 Mackinaw Rd
Ste 6100
Saginaw, MI 48604
Phone (989) 792-3100
11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
Interoperability endpoints
- sgribben853495@direct.hfhs.org
Organizations & group practices 10
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
- Detroit, MI
- NPI 1871666479
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lake Orion, MI
- NPI 1235643495
-
- 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
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lexington, KY
- NPI 1831438092
MI, Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Irving, TX
- NPI 1972126209
MI, Nurse Anesthetist, Certified Registered
-
- Social Worker
- Warren, MI
- NPI 1548609761
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1639665201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24724 MELODY RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480894749",
"telephone_number": "248-420-3248"
},
{
"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": "482022689",
"telephone_number": "313-916-0450"
}
],
"practiceLocations": [
{
"address_1": "3601 W 13 Mile Rd",
"address_purpose": "LOCATION",
"city": "Royal Oak",
"state": "MI",
"postal_code": "480736712",
"country_code": "US",
"telephone_number": "248-898-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIBBEN-MOE",
"first_name": "SALLY",
"middle_name": "B",
"credential": "APRN, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-07",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704295388",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "3373",
"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 Sep 11, 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.