Individual provider Active NPI

Lisa Ann Mileto, CRNA

  • Certified Registered Nurse Anesthetist
  • Rochester Hills, MI
National Provider Identifier
1710955042
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704160785 Issued in MI
Practice address
1701 South Blvd E Ste 300
Rochester Hills, MI 48307-6120
Phone
(517) 332-1200
Fax
(517) 351-7122
NPI assigned
Mar 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 5469 NC
Certified Registered Nurse Anesthetist 367500000X 4704160785 MI Primary

Addresses

Primary practice location

1701 South Blvd E Ste 300
Rochester Hills, MI 48307-6120

Mailing address

2746 Pineview TRL
Brighton, MI 48114-8890
Phone (810) 986-9711

Other practice location 1

30150 Telegraph Rd Ste 112
Bingham Farms, MI 48025-4549
Phone (248) 274-6508

Other practice location 2

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2011

Other identifiers 3

IdentifierTypeStateIssuer
430F364420OtherMIBCBSM
41152OtherMINBCRNA
2749045MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121001000250 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092964452 Reassigns benefits to 4 organizations
I20161024001135 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092964452

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Anesthesia PLLCGroup PAC ID 8628471190, 37 clinicians
Celebrity Anesthesia Staffing LLCGroup PAC ID 3678987534, 26 clinicians

Practice addresses (Care Compare)

1701 S Blvd E
Suite 300
Rochester Hills, MI 48307-6120
Phone (248) 844-9710

7276 Huron Ave
Lexington, MI 48450-8324
Phone (512) 593-1945

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5469NCMDSpeech-Language Pathologist
4704160785MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Celebrity Anesthesia Staffing LLC CurrentSince Sep 15, 2024 Accepting new patients
Edward W. Sparrow Hospital Association Nurse Anesthetist, Certified Registered CurrentSince Jun 14, 2023 Accepting new patients
Pinnacle Anesthesia PLLC CurrentSince Feb 1, 2022 Accepting new patients
Huron Gastroenterology Associates PC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2024 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jun 14, 2023 Accepting new patients
Huron Gastroenterology Associates PC CurrentSince Sep 1, 2024 Accepting new patients
Pinnacle Gi Lab LLC PastSince Aug 1, 2024 Accepting new patients
Saint Joseph Mercy Livingston Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

917 W Washington Blvd
Chicago, IL 60607
Phone (312) 248-3655

8175 Reliable Pkwy
Chicago, IL 60686

1179 East Paris Ave SE
Ste E200
Grand Rapids, MI 49546
Phone (616) 975-9100

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033

2909 E Grand River Ave
Ste 201
Lansing, MI 48912
Phone (517) 253-3050

3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063

1701 South Blvd E
Ste 300
Rochester Hills, MI 48307
Phone (248) 844-9710

50438 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 726-8423

5300 Elliott Dr
Ypsilanti, MI 48197
Phone (734) 434-6262

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1710955042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2746 PINEVIEW TRL",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481148890",
            "telephone_number": "810-986-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E STE 300",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076120",
            "telephone_number": "517-332-1200",
            "fax_number": "517-351-7122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30150 Telegraph Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480254549",
            "country_code": "US",
            "telephone_number": "248-274-6508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-716-2011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILETO",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-11",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "5469",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704160785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "430F364420",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCRNA",
            "identifier": "41152",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2749045",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.