Individual provider Active NPI

Nicole K. Larocca, RN, CRNA

  • Certified Registered Nurse Anesthetist
  • Chelsea, MI
National Provider Identifier
1740613215
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704297425 Issued in MI
Practice address
775 S Main St
Chelsea, MI 48118-1399
Phone
(734) 263-2400
NPI assigned
Aug 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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 0024171480 VA
Certified Registered Nurse Anesthetist 367500000X 4704297425 MI Primary

Addresses

Primary practice location

775 S Main St
Chelsea, MI 48118-1399

Mailing address

2006 Hogack Road
Suite 5a
Ann Arbor, MI 33487
Phone (734) 786-2317

Other practice location 1

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-3138

Other identifiers 3

IdentifierTypeStateIssuer
422346200MedicaidMD
075835800MedicaidDC
1740613215MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210330000920 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830329028 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Virginia Commonwealth University, School of Medicine, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Anesthesia Associates of Ann Arbor PLLCGroup PAC ID 1355317223, 213 clinicians
Northstar Anesthesia of Michigan III PLLCGroup PAC ID 7911325469, 561 clinicians
Chelsea Community HospitalGroup PAC ID 0648171074, 38 clinicians

Practice addresses (Care Compare)

135 S Prospect St
Ypsilanti, MI 48198-7914
Phone (734) 547-4700

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (214) 687-0001

33155 Annapolis St
Wayne, MI 48184-2405
Phone (214) 687-0001

5300 Elliott Dr
Ypsilanti, MI 48197-8632
Phone (734) 434-6262

5450 Fort St
Trenton, MI 48183-4601
Phone (214) 687-0001

775 S Main St
Chelsea, MI 48118-1370
Phone (734) 475-1311

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Botsford General Hospital CurrentSince Mar 1, 2022 Accepting new patients
Huron Gastroenterology Associates PC CurrentSince Jan 1, 2022 Accepting new patients
Chelsea Community Hospital CurrentSince Nov 1, 2025 Accepting new patients
Botsford General Hospital Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2022 Accepting new patients
Chelsea Community Hospital Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2025 Accepting new patients
Huron Gastroenterology Associates PC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients
Northstar Anesthesia of Michigan III PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2021 Accepting new patients
Anesthesia Associates of Ann Arbor, PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 15, 2021 Accepting new patients

Locations

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

2006 Hogback Rd
Ste 5A
Ann Arbor, MI 48105
Phone (734) 786-2317

775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764

28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000

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

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

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

135 S Prospect St
Ypsilanti, MI 48198
Phone (734) 547-1060

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1740613215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 HOGACK ROAD",
            "address_2": "SUITE 5A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "33487",
            "telephone_number": "734-786-2317",
            "fax_number": "734-786-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 S MAIN ST",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181399",
            "telephone_number": "734-263-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-3138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAROCCA",
        "first_name": "NICOLE",
        "middle_name": "K.",
        "credential": "RN, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024171480",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704297425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "422346200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075835800",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740613215",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.