Active NPI
Batina Irene Bennett, R.N.
- Certified Registered Nurse Anesthetist
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704201875
- Practice address
- 22101 Moross Rd
Detroit, MI 48236-2148 - Phone
- (313) 343-4000
- NPI assigned
- Dec 9, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704201875 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704201875 | MI | Primary |
Addresses
Primary practice location
22101 Moross Rd
Detroit, MI 48236-2148
Mailing address
22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-4000
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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-4000
22101 Moross Rd
Detroit, MI 48236-2172
4550 Investment Dr
Troy, MI 48098-6334
Phone (248) 265-4600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704201875 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Lake Anesthesiology Consultants, PLC | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Macomb Hospital Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Waterford Anesthesia, PLLC | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Superior Anesthetists Associates, Inc. | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Waterford Surgical Center, LLC | Past | Accepting new patients |
Locations
2009 Momentum Pl
Chicago, IL 60689
7915 Solutions Ctr Dr
Chicago, IL 60677
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
18100 Oakwood Blvd
Ste 100
Dearborn, MI 48124
Phone (313) 240-7668
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
5202 Miller Rd
Flint, MI 48507
Phone (810) 720-8900
1546 Callis Rd
Lapeer, MI 48446
Phone (810) 667-4000
920 River Centre Dr
Port Huron, MI 48060
Phone (810) 984-5200
4550 Investment Dr
Ste 100
Troy, MI 48098
Phone (248) 265-4600
4550 Investment Dr
Troy, MI 48098
Phone (248) 265-4600
5220 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 461-2800
5220 Highland Rd
Ste 1
Waterford, MI 48327
Phone (248) 886-5555
Interoperability endpoints
- bbennett545969@direct.hfhs.org
Organizations & group practices 8
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.
-
- Certified Registered Nurse Anesthetist
- Detroit, MI
- NPI 1598896995
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Troy, MI
- NPI 1194812651
-
- Certified Registered Nurse Anesthetist
- Clinton Township, MI
- NPI 1528130739
Nurse Anesthetist, Certified Registered
-
- Specialist
- Troy, MI
- NPI 1831144518
-
- Anesthesiology Physician
- Waterford, MI
- NPI 1376862474
-
dba Henry Ford Health Macomb Hospital
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
dba St John Hospital and Medical Center
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
-
- Ambulatory Surgical Clinic/Center
- Waterford, MI
- NPI 1467788729
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St John Hospital and Medical Center
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1861637605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22101 MOROSS RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482362148",
"telephone_number": "313-343-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22101 MOROSS RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482362148",
"telephone_number": "313-343-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "BATINA",
"middle_name": "IRENE",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-09",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704201875",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704201875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.