Roger Jack Pell, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704155121 Issued in MI

Practice address

50 N Perry St
Department of Anesthesia Attn Karen Sanderson
Pontiac, MI 48342-2217

Phone

(248) 338-5442

NPI assigned

Nov 15, 2006

Last updated

Feb 4, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Associates of Ann Arbor PLLCGroup PAC ID 1355317223, 213 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

Merit-based Incentive Payment System (MIPS)

Final score

67.5 of 100Reported as group

Quality

58.12

Improvement activities

40

Cost

68.45

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Anesthesia Associates of Ann Arbor, PLLC

  • Anesthesiology Physician
  • Westland, MI
  • NPI 1669581997

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• GLPS Staffing Solutions LLC

  • Certified Registered Nurse Anesthetist
  • Mount Clemens, MI
  • NPI 1750797015

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Prime Healthcare Services-Port Huron LLC

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1306227764
  Medicare reassignment NPD
• Waterford Anesthesia, PLLC

  • Anesthesiology Physician
  • Waterford, MI
  • NPI 1376862474
  Medicare reassignment NPD
• Prime Healthcare Services-Port Huron LLC

  dba Lake Huron Medical Center

  • Radiation Oncology Physician
  • Port Huron, MI
  • NPI 1902407844
  NPD
• Apex Anesthesia Services PLLC

  • Certified Registered Nurse Anesthetist
  • Clarkston, MI
  • NPI 1811121221

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Cataract Specialty Surgical Center, LLC

  • Certified Registered Nurse Anesthetist
  • Berkley, MI
  • NPI 1396171773

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Cataract Specialty Surgical Center, LLC

  dba Cataract specialty surgical center

  • Ambulatory Surgical Clinic/Center
  • Berkley, MI
  • NPI 1528061918
  NPD (past)
• McLaren Port Huron

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1982685384
  NPD (past)
• St. Joseph Mercy Hospital Crna Group

  • Certified Registered Nurse Anesthetist
  • Pontiac, MI
  • NPI 1568493047

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Waterford Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Waterford, MI
  • NPI 1467788729
  NPD (past)
• Michigan Anesthesia Care One PC

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1386976090

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

• St Joseph Mercy Hospital-SMHC

  dba St Joseph Mercy Oakland

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1053356352
  Care Compare affiliation

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1780757351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5833 ROWLEY BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483292217",
            "telephone_number": "248-674-0501",
            "fax_number": "248-674-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N PERRY ST",
            "address_2": "DEPARTMENT OF ANESTHESIA ATTN KAREN SANDERSON",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422217",
            "telephone_number": "248-338-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELL",
        "first_name": "ROGER",
        "middle_name": "JACK",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704155121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harriet L Patton, MSW
• Honey Susan Paul
• William Pavlik
• Kamari Peeples, LLMSW
• Marin Marie Pell, CRNA
• Dilaina Pelt, LLPC
• Marie Pepsick
• Rachal Perez
• Susie Noemi Perez
• Perfecting Lifestyles LLC

• Certified Registered Nurse Anesthetist in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.