Active NPI
Elaine P Wynter, CRNA
- Certified Registered Nurse Anesthetist
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704148069
- Practice address
- 11800 E 12 Mile Rd
Warren, MI 48093-3472 - Phone
- (586) 573-5260
- Fax
- (586) 573-5364
- NPI assigned
- Dec 22, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704148069 | 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) 573-5260
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4814779 | Medicaid | MI | |
| 4852377 | Medicaid | MI |
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, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
44405 Woodward Ave
Pontiac, MI 48341-5023
Phone (248) 585-3023
826 W King St
Memorial Medical Associates
Owosso, MI 48867-2120
Phone (989) 723-5211
Hospital & facility affiliations
- Trinity Health Oakland Hospital
- Memorial Healthcare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704148069 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford West Bloomfield Hospital | Current | Accepting new patients | |
| Alliance Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Ann Arbor, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Memorial Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford West Bloomfield Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Beaumont West Bloomfield ASC LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Sunrise Anesthesiology of Michigan, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Beaumont Macomb Township ASC, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| St. Joseph Mercy Hospital Crna Group | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Ambulatory Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Eastside Group LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Henry Ford Health Providence Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Waterford Surgical Center, LLC | Past | Accepting new patients |
Locations
2006 Hogback Rd
Ste 5
Ann Arbor, MI 48105
Phone (313) 712-4331
9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273
4800 S Saginaw St
Ste 1845
Flint, MI 48507
Phone (810) 275-9152
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
826 W King St
Owosso, MI 48867
Phone (989) 720-2273
3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004
44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000
230 W Maple Rd
Troy, MI 48084
Phone (248) 244-1500
1560 E Maple Rd
#100
Troy, MI 48083
Phone (248) 817-2001
1560 E Maple Rd
Troy, MI 48083
Phone (248) 581-5729
6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000
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.
-
- Anesthesiology Physician
- Westland, MI
- NPI 1669581997
Nurse Anesthetist, Certified Registered
-
- General Practice Physician
- Owosso, MI
- NPI 1235160532
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Flint, MI
- NPI 1063880052
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- West Bloomfield, MI
- NPI 1518104686
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- West Bloomfield, MI
- NPI 1386920122
-
- Anesthesiology Physician
- Owosso, MI
- NPI 1659527737
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Monroe, MI
- NPI 1952350555
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Macomb, MI
- NPI 1184746463
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- W Bloomfield, MI
- NPI 1275790206
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Saint Clair Shores, MI
- NPI 1235365289
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Southfield, MI
- NPI 1851339196
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Pontiac, MI
- NPI 1568493047
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
- Owosso, MI
- NPI 1063414233
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1053356352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740345628",
"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": "586-573-5260",
"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": "586-573-5260",
"fax_number": "586-573-5364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYNTER",
"first_name": "ELAINE",
"middle_name": "P",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704148069",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4814779",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4852377",
"state": "MI"
}
],
"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 Jul 8, 2007; 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.