NPIMap

Individual provider Active NPI

Raquel E Killop, CRNA

  • Certified Registered Nurse Anesthetist
  • Troy, MI
National Provider Identifier
1841383478
Registry record updated Apr 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704209110 Issued in MI
Practice address
44201 Dequindre Rd
Troy, MI 48085-1117
Phone
(248) 964-3012
NPI assigned
Oct 2, 2006
Last updated
Apr 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704209110 MI Primary

Addresses

Primary practice location

44201 Dequindre Rd
Troy, MI 48085-1117

Mailing address

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-3012

Other identifiers 1

IdentifierTypeStateIssuer
4178761MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080501000155 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648359703 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resource Anesthesiology Associates of Mi PCGroup PAC ID 4082883053, 62 clinicians

Practice addresses (Care Compare)

2463 S M
Suite 30
West Branch, MI 48661-9312
Phone (989) 345-3660

800 S Washington Ave
Saginaw, MI 48601-2551
Phone (989) 907-8200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704209110MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Resource Anesthesiology Associates of Mid Michigan PC CurrentSince Jul 1, 2025 Accepting new patients
Anesthesia Care Experts Staffing Nurse Anesthetist, Certified Registered CurrentSince Sep 9, 2024 Accepting new patients
Pathology Associates of Mt Clemens PC Current Accepting new patients
Mymichigan Medical Center West Branch CurrentSince May 10, 2025 Accepting new patients
Mymichigan Medical Center West Branch Current Accepting new patients
Resource Anesthesiology Associates of Mi PC CurrentSince Jun 1, 2025 Accepting new patients
Macomb Anesthesia, PC CurrentSince Nov 1, 2016 Accepting new patients
Anesthesia Associates of the Lower Peninsula PC CurrentSince Oct 1, 2025 Accepting new patients
GLPS Staffing Solutions LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2014 Accepting new patients
William Beaumont Hospital Nurse Anesthetist, Certified Registered CurrentSince Nov 26, 2007 Accepting new patients
Environ Anesthesia, LLC. Nurse Anesthetist, Certified Registered CurrentSince Jan 17, 2018 Accepting new patients
William Beaumont Hospital CurrentSince Nov 26, 2007 Accepting new patients
Northstar Anesthesia of Michigan III PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2021 Accepting new patients
Mymichigan Medical Center West Branch Nurse Anesthetist, Certified Registered CurrentSince May 10, 2025 Accepting new patients

Locations

949 National Ave
Ste 151
Lexington, KY 40502
Phone (859) 509-8399

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

43475 Dalcoma Dr
Ste 100
Clinton Twp, MI 48038
Phone (586) 263-5043

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

326 N Main St
Royal Oak, MI 48067
Phone (248) 584-7600

3601 W 13 Mile Rd
Royal Oak, MI 48073

4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000

5400 Mackinaw Rd
Ste 6100
Saginaw, MI 48604
Phone (989) 792-3100

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

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

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 8

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493510400000",
    "number": "1841383478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44201 DEQUINDRE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851117",
            "telephone_number": "248-964-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44201 DEQUINDRE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851117",
            "telephone_number": "248-964-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLOP",
        "first_name": "RAQUEL",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2017-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704209110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4178761",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2017; 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.