Active NPI
Robert Carter, CRNA, RN
- Certified Registered Nurse Anesthetist
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704295699
- Practice address
- 6071 W Outer Dr
Detroit, MI 48235-2624 - Phone
- (313) 966-6077
- NPI assigned
- Jan 9, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704295699 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704295699 | MI | Primary |
Addresses
Primary practice location
6071 W Outer Dr
Detroit, MI 48235-2624
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5922
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rcarter167080@epicdirect.promedica.org |
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
- University of Michigan Medical School, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 E Medical Ctr Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-4000
200 E Russell Rd
Unit C
Tecumseh, MI 49286-2072
Phone (517) 263-9491
4270 Plymouth Rd
Ann Arbor, MI 48109-2700
Phone (734) 936-4000
5640 N Adrian Hwy
Adrian, MI 49221-8318
Phone (419) 291-4491
Hospital & facility affiliations
- University of Michigan Health System
- Promedica Charles and Virginia Hickman Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704295699 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Michigan II PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Huron Gastroenterology Associates PC | Current | Accepting new patients | |
| Promedica Central Corporation of Michigan | Current | Accepting new patients | |
| Northstar Anesthesia of Michigan PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Huron Gastroenterology Associates PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sjmhs Anesthesia Services | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sjmhs Anesthesia Services | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Center for Digestive Care LLC | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Sjmhs Anesthesia Services | Current | Accepting new patients | |
| Regents of the University of Michigan | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
777 Kimole Ln
Ste 220
Adrian, MI 49221
Phone (517) 263-6464
818 Riverside Ave
Adrian, MI 49221
Phone (517) 263-0711
4270 Plymouth Rd
Ann Arbor, MI 48109
Phone (734) 232-3000
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615
6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033
3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063
26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500
200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883
5300 Elliott Dr
Ypsilanti, MI 48197
Phone (734) 434-6262
5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246
135 S Prospect St
Ypsilanti, MI 48198
Phone (734) 547-1060
100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964
6225 State Highway 161
Ste 200
Irving, TX 75038
Phone (214) 687-0496
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 11
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
- Ann Arbor, MI
- NPI 1528010428
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Ypsilanti, MI
- NPI 1164528527
-
- Gastroenterology Physician
- Ypsilanti, MI
- NPI 1144335639
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Howell, MI
- NPI 1215026281
-
- Anesthesiology Physician
- Irving, TX
- NPI 1437268026
MI, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Irving, TX
- NPI 1871986372
MI, Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Howell, MI
- NPI 1265635593
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
-
- Certified Registered Nurse Anesthetist
- Ypsilanti, MI
- NPI 1184069874
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Brighton, MI
- NPI 1205271996
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Adrian, MI
- NPI 1972564730
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1669989836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6071 W OUTER DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352624",
"telephone_number": "313-966-6077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "ROBERT",
"credential": "CRNA, RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-09",
"last_updated": "2023-11-03",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704295699",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704295699",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rcarter167080@epicdirect.promedica.org",
"affiliation": "N",
"address_1": "100 Madison Ave",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436041516",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 3, 2023; 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.