Active NPI
Angelique Jenelle Gwin, CRNA
- Certified Registered Nurse Anesthetist
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704246817
- Practice address
- 1500 E Medical Center Dr
1H247 University Hospital
Ann Arbor, MI 48109 - Phone
- (734) 936-4280
- NPI assigned
- Sep 14, 2006
- Last updated
- Dec 13, 2018
- 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 | 4704246817 | MI | Primary |
Addresses
Primary practice location
1500 E Medical Center Dr
1H247 University Hospital
Ann Arbor, MI 48109
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4816002 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Wall St
Ann Arbor, MI 48105-1912
Phone (734) 936-4000
1500 E Medical Ctr Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-4000
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000
4270 Plymouth Rd
Ann Arbor, MI 48109-2700
Phone (734) 936-4000
5640 N Adrian Hwy
Adrian, MI 49221-8318
Phone (419) 291-4491
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Physicians | Current | Accepting new patients | |
| Northwestern Services, LLC | Current | Accepting new patients | |
| Northwestern Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| PSJ Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| West Michigan Aas LLC | Current | Accepting new patients | |
| Regents of the University of Michigan | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Promedica Central Corporation of Michigan | Current | Accepting new patients | |
| Promedica Central Physicians | Current | Accepting new patients | |
| Michigan Crnas Staffing LLC | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Anesthesiology Consultants of Toledo, Inc | Past | Accepting new patients | |
| Henry Ford Health Providence Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
5640 N Adrian Hwy
Adrian, MI 49221
Phone (419) 291-3000
1500 E Medical Center Dr
#1H247
Ann Arbor, MI 48109
Phone (734) 936-4280
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
4270 Plymouth Rd
Ann Arbor, MI 48109
Phone (734) 232-3000
30400 Telegraph Rd
Ste 405
Bingham Farms, MI 48025
Phone (248) 483-8138
17000 Executive Plaza Dr
Ste 301
Dearborn, MI 48126
Phone (313) 408-6613
30055 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 626-8200
30055 Northwestern Hwy
Ste L-60
Farmington Hills, MI 48334
Phone (248) 265-6555
4024 Park East Ct SE
Grand Rapids, MI 49546
Phone (231) 592-3102
1030 N Monroe St
Ste 2
Monroe, MI 48162
Phone (734) 682-3309
26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500
43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658
47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883
1560 E Maple Rd
#100
Troy, MI 48083
Phone (248) 817-2001
5200 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-1305
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Ann Arbor, MI
- NPI 1528010428
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Toledo, OH
- NPI 1043270150
-
- Anesthesiology Physician
- Novi, MI
- NPI 1851666424
-
- Certified Registered Nurse Anesthetist
- Farmington Hills, MI
- NPI 1215106679
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Southfield, MI
- NPI 1275905796
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Novi, MI
- NPI 1295149227
-
- Anesthesiology Physician
- West Bloomfield, MI
- NPI 1518104686
-
- Anesthesiology Physician
- Farmington Hills, MI
- NPI 1083883649
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
-
dba ProMedica Physicians Durable Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
-
dba Henry Ford Providence Hospital
- Certified Registered Nurse Anesthetist
- Southfield, MI
- NPI 1851339196
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Promedica Monroe Regional Hospital
- General Acute Care Hospital
- Monroe, MI
- NPI 1811097223
-
dba Monroe Cancer Center
- Specialist
- Monroe, MI
- NPI 1376997551
Hospital
-
dba University of Michigan Health System
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544659200000",
"number": "1770689325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E MEDICAL CENTER DR",
"address_2": "1H247 UNIVERSITY HOSPITAL",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48109",
"telephone_number": "734-936-4280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GWIN",
"first_name": "ANGELIQUE",
"middle_name": "JENELLE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2018-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704246817",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4816002",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.