Individual provider Active NPI

Carmencita Ford-Fleifel, CRNA

  • Certified Registered Nurse Anesthetist
  • Warren, MI
National Provider Identifier
1700813375
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704166635 Issued in MI
Practice address
11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone
(586) 573-5261
Fax
(586) 573-5364
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704166635 MI Primary

Addresses

Primary practice location

11800 E 12 Mile Rd
Warren, MI 48093-3472

Mailing address

11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone (586) 573-5261

Other practice location 1

11012 E 13 Mile Rd Ste 112A
Warren, MI 48093-2546
Phone (586) 751-9800

Other practice location 2

43475 Dalcoma Dr Ste 100
Clinton Twp, MI 48038-3593
Phone (586) 263-5043

Other practice location 3

22401 Foster Winter Dr
Southfield, MI 48075-3724
Phone (248) 423-5198

Other practice location 4

36650 Five Mile Rd Ste 100&101
Livonia, MI 48154-1951
Phone (734) 434-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070427000214 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749386332 Reassigns benefits to 6 organizations
I20250507000852 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749386332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Wayne State University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

2025 Morse Ave
Sacramento, CA 95825-2115
Phone (916) 973-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2015 Accepting new patients
Resource Anesthesiology Associates of Mi PC CurrentSince Oct 1, 2023 Accepting new patients
Permanente Medical Group, Inc CurrentSince Feb 28, 2025 Accepting new patients
Permanente Medical Group Inc CurrentSince Feb 28, 2025 Accepting new patients
Northstar Anesthesia of Michigan PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
Ascension Genesys Hospital CurrentSince Oct 1, 2022 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
Henry Ford Health Genesys Hospital Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2022 Accepting new patients
Anesthesia Associates of Ann Arbor, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2024 Accepting new patients
St Mary Mercy Hospital Crna Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2024 Accepting new patients
St Mary Mercy Hospital Current Accepting new patients
Henry Ford Health System CurrentSince Aug 1, 2015 Accepting new patients
Sunrise Anesthesiology of Michigan, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
St. Joseph Mercy Hospital Crna Group Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations (25 of 36)

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2025 Morse Ave
Sacramento, CA 95825

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

7794 Solution Ctr
Chicago, IL 60677

350 E Devon Ave
Itasca, IL 60143

2006 Hogback Rd
Ste 5
Ann Arbor, MI 48105
Phone (313) 712-4331

43475 Dalcoma Dr
Ste 100
Clinton Twp, MI 48038
Phone (586) 263-5043

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

1 Genesys Pkwy
#H
Grand Blanc, MI 48439

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
  • Direct secure messaging: cfordfleifel373172@direct.hfhs.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1700813375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933472",
            "telephone_number": "586-573-5261",
            "fax_number": "586-573-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933472",
            "telephone_number": "586-573-5261",
            "fax_number": "586-573-5364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11012 E 13 Mile Rd Ste 112A",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480932546",
            "country_code": "US",
            "telephone_number": "586-751-9800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43475 Dalcoma Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Clinton Twp",
            "state": "MI",
            "postal_code": "480383593",
            "country_code": "US",
            "telephone_number": "586-263-5043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22401 Foster Winter Dr",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480753724",
            "country_code": "US",
            "telephone_number": "248-423-5198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36650 Five Mile Rd Ste 100&101",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481541951",
            "country_code": "US",
            "telephone_number": "734-434-6262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD-FLEIFEL",
        "first_name": "CARMENCITA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704166635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.