Active NPI
Kerri Ann Christofferson, CRNA
- Certified Registered Nurse Anesthetist
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704244075
- Practice address
- 3601 W 13 Mile Rd
Beaumont Hospital Royal Oak
Royal Oak, MI 48073-6712 - Phone
- (248) 898-7784
- Fax
- (248) 898-7784
- NPI assigned
- Feb 6, 2010
- 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 | 4704244075 | MI | Primary |
Addresses
Primary practice location
3601 W 13 Mile Rd
Beaumont Hospital Royal Oak
Royal Oak, MI 48073-6712
Mailing address
130 Town Center Dr Ste 203
Beaumont Medical Staff Affairs
Troy, MI 48084-1744
Phone (248) 585-8216
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, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1375 S Lapeer Rd
Michigan Institute F
Lake Orion, MI 48360-1421
Phone (248) 693-7950
4550 Investment Dr
Troy, MI 48098-6334
Phone (248) 265-4600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asa Staffing Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Superior Anesthetists Associates, Inc. | Current | Accepting new patients | |
| Northstar Anesthesia of Michigan III PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| William Beaumont Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Axon Anesthesia Consultants, PLC | Current | Accepting new patients | |
| William Beaumont Hospital | Current | Accepting new patients | |
| Long Lake Anesthesiology Consultants, PLC | Current | Accepting new patients | |
| Endeavor Health Medical Group | Past | Accepting new patients | |
| Endeavor Health Medical Group | Past | Accepting new patients |
Locations
2009 Momentum Pl
Chicago, IL 60689
5202 Miller Rd
Flint, MI 48507
Phone (810) 720-8900
1375 S Lapeer Rd
Ste 109
Lake Orion, MI 48360
Phone (248) 693-7950
1375 S Lapeer Rd
#F
Lake Orion, MI 48360
920 River Centre Dr
Port Huron, MI 48060
Phone (810) 984-5200
3601 W 13 Mile Rd
Royal Oak, MI 48073
130 Town Center Dr
Ste 203
Troy, MI 48084
Phone (248) 585-8250
4550 Investment Dr
Troy, MI 48098
Phone (248) 265-4600
4550 Investment Dr
Ste 100
Troy, MI 48098
Phone (248) 265-4600
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
Organizations & group practices 9
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.
-
- Certified Registered Nurse Anesthetist
- Rochester, MI
- NPI 1114378981
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lake Orion, MI
- NPI 1235643495
-
- Anesthesiology Physician
- Troy, MI
- NPI 1194812651
-
- Specialist
- Troy, MI
- NPI 1831144518
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Irving, TX
- NPI 1972126209
MI, Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1780916395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 TOWN CENTER DR STE 203",
"address_2": "BEAUMONT MEDICAL STAFF AFFAIRS",
"city": "TROY",
"state": "MI",
"postal_code": "480841744",
"telephone_number": "248-585-8216",
"fax_number": "248-585-8266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 W 13 MILE RD",
"address_2": "BEAUMONT HOSPITAL ROYAL OAK",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736712",
"telephone_number": "248-898-7784",
"fax_number": "248-898-7784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTOFFERSON",
"first_name": "KERRI",
"middle_name": "ANN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-06",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704244075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.