Kathryn S Bender, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Ishpeming, MI
NPI 1790767853 · NPPES record last updated Jul 9, 2013
Key facts
- NPI
- 1790767853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 4704157469 (MI)
- Practice address
- 901 Lakeshore Dr
Ishpeming, MI 49849-1367 - Phone
- (906) 486-4431
- NPI assigned
- Nov 15, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pinnacle Anesthesia PLLC
Celebrity Anesthesia Staffing LLC
Practice addresses (Care Compare)
1701 S Blvd E
Suite 300
Rochester Hills, MI 48307-6120
Phone (248) 844-9710
7276 Huron Ave
Lexington, MI 48450-8324
Phone (512) 593-1945
Hospital & facility affiliations
- Eaton Rapids Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041015000859 | MI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9638139363 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704157469 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W. Sparrow Hospital Association | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Pinnacle Anesthesia PLLC | Current |
Accepting new patients | |
| Edward W Sparrow Hospital Association | Current |
Accepting new patients | |
| Eaton Rapids Medical Center | Current |
Accepting new patients | |
| Eaton Rapids Medical Center | Current |
Accepting new patients | |
| Celebrity Anesthesia Staffing LLC | Current |
Accepting new patients | |
| Marquette General Hospital, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| DLP Marquette General Hospital LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
917 W Washington Blvd
Chicago, IL 60607
Phone (312) 248-3655
8175 Reliable Pkwy
Chicago, IL 60686
1090 Trowbridge Rd
Ste A
East Lansing, MI 48823
Phone (517) 220-0240
1650 Ramblewood Dr
East Lansing, MI 48823
Phone 5173321200 ext. 248
1500 S Main St
Eaton Rapids, MI 48827
Phone (517) 663-2671
1179 East Paris Ave SE
Ste E200
Grand Rapids, MI 49546
Phone (616) 975-9100
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033
2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500
3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063
1701 South Blvd E
Ste 300
Rochester Hills, MI 48307
Phone (248) 844-9710
50438 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 726-8423
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704157469 | MI | Yes |
Addresses
Primary practice location
901 Lakeshore Dr
Ishpeming, MI 49849-1367
Mailing address
811 W Kaye Ave
Marquette, MI 49855-2614
Phone (906) 226-8511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104654138 | Medicaid | MI | |
| 44337700 | Other | WI | WISC MEDICAID PIN |
| KB157469 | Other | MI | BLUESHIELD PIN |
Other providers in Ishpeming, MI
- Bell Memorial Hospital
- Bell Memorial Hospital Pharmacy Department
- Bell Physician Practices Inc
- Bell Physician Practices Inc
- Bell Physician Practices Inc
- Rebecca Ann Bergwall
- Richard A Bohjanen
- George Bonefeld
- Justin Bosten
- Todd K Bostwick
All providers in Ishpeming, MI · Certified Registered Nurse Anesthetist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.