Active NPI
Nicole A Dimuzio, CRNA
- Certified Registered Nurse Anesthetist
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704216688
- Practice address
- 22401 Foster Winter Dr
Southfield, MI 48075-3724 - Phone
- (248) 423-5198
- NPI assigned
- Oct 4, 2006
- 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 | 4704216688 | MI | Primary |
Addresses
Primary practice location
22401 Foster Winter Dr
Southfield, MI 48075-3724
Mailing address
1000 Harrington Blvd
Mount Clemens, MI 48043
Phone (586) 493-8747
Other practice location 1
1000 Harrington Blvd
Mount Clemens, MI 48043
Phone (586) 493-8747
Other practice location 2
11012 E 13 Mile Rd Ste 112A
Warren, MI 48093-2546
Phone (586) 751-9800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4580796 | Medicaid | MI | |
| 4601519 | Medicaid | MI |
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, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
159 Kercheval Ave
Grosse Pointe Farms, MI 48236-3610
Phone (313) 640-1000
2006 Hogback Rd
Ann Arbor, MI 48105-9750
2799 W Grand Blvd
Detroit, MI 48202-2608
2799 W Grand Boulevard
Detroit, MI 48202-2608
Phone (313) 916-2600
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (214) 687-0001
Hospital & facility affiliations
- Surgeons Choice Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704216688 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Gastrointestinal Health at Health Park LLC | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Northstar Anesthesia of Michigan III PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| GLPS Staffing Solutions LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Ann Arbor, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2006 Hogback Rd
Ste 5
Ann Arbor, MI 48105
Phone (313) 712-4331
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
600 Health Park Blvd
Ste E
Grand Blanc, MI 48439
Phone (810) 503-8210
159 Kercheval Ave
Grosse Pointe Farms, MI 48236
Phone (313) 640-1000
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727
3601 W 13 Mile Rd
Royal Oak, MI 48073
22401 Foster Winter Dr
Southfield, MI 48075
Phone (248) 423-4100
11012 E 13 Mile Rd
Ste 112A
Warren, MI 48093
Phone (586) 573-6880
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
Interoperability endpoints
- ndimuzio867807@direct.hfhs.org
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Westland, MI
- NPI 1669581997
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Detroit, MI
- NPI 1871666479
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Irving, TX
- NPI 1972126209
MI, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Mount Clemens, MI
- NPI 1750797015
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Grand Blanc, MI
- NPI 1437107844
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Diagnostic Radiology Physician
- Dearborn, MI
- NPI 1285906792
Hospital
-
- Ambulatory Surgical Clinic/Center
- Warren, MI
- NPI 1619969540
Hospital
-
- Rehabilitation Hospital Unit
- Southfield, MI
- NPI 1730337601
-
- General Acute Care Hospital
- Southfield, MI
- NPI 1790785095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1841386547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 HARRINGTON BLVD",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "48043",
"telephone_number": "586-493-8747",
"fax_number": "586-493-8741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22401 FOSTER WINTER DR",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753724",
"telephone_number": "248-423-5198"
}
],
"practiceLocations": [
{
"address_1": "1000 Harrington Blvd",
"address_purpose": "LOCATION",
"city": "Mount Clemens",
"state": "MI",
"postal_code": "48043",
"country_code": "US",
"telephone_number": "586-493-8747",
"fax_number": "586-493-8741",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11012 E 13 Mile Rd Ste 112A",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "MI",
"postal_code": "480932546",
"country_code": "US",
"telephone_number": "586-751-9800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIMUZIO",
"first_name": "NICOLE",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704216688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4580796",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4601519",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.