Active NPI
Lisa Ann Mileto, CRNA
- Certified Registered Nurse Anesthetist
- Rochester Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704160785
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430F364420 | Other | MI | BCBSM |
| 41152 | Other | MI | NBCRNA |
| 2749045 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, NC
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5469 | NC | MD | Speech-Language Pathologist |
| 4704160785 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Celebrity Anesthesia Staffing LLC | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Pinnacle Anesthesia PLLC | Current | Accepting new patients | |
| Huron Gastroenterology Associates PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| Huron Gastroenterology Associates PC | Current | Accepting new patients | |
| Pinnacle Gi Lab LLC | Past | 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
- 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.
-
- Anesthesiology Physician
- Grand Rapids, MI
- NPI 1235728403
-
- Anesthesiology Physician
- Macomb, MI
- NPI 1295301133
-
- Anesthesiology Physician
- Lansing, MI
- NPI 1366498107
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Ypsilanti, MI
- NPI 1144335639
Nurse Anesthetist, Certified Registered
-
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
-
- Gastroenterology Physician
- Howell, MI
- NPI 1265635593
-
- Clinical Medical Laboratory
- Troy, MI
- NPI 1922828607
-
- Certified Registered Nurse Anesthetist
- Brighton, MI
- NPI 1922127976
Nurse Anesthetist, Certified Registered
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.