Active NPI
Patricia E Klask, CRNA
- Certified Registered Nurse Anesthetist
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704207473
- Practice address
- 205 N East Ave
Jackson, MI 49201-1753 - Phone
- (517) 788-4963
- NPI assigned
- Jan 4, 2007
- 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 | 4704207473 | MI | Primary |
Addresses
Primary practice location
205 N East Ave
Jackson, MI 49201-1753
Mailing address
205 N East Ave
Jackson, MI 49201-1753
Phone (517) 788-4963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21298 Olean Blvd
Port Charlotte, FL 33952-6705
Phone (941) 629-1181
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Punta Gorda HB Medical Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sjmhs Anesthesia Services | Current | Accepting new patients | |
| Sjmhs Anesthesia Services | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sunshine State Anesthesia Partners LLC | Current | Accepting new patients |
Locations
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122
21298 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-7032
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 5
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
- Bradenton, FL
- NPI 1437757127
-
- Anesthesiology Physician
- Howell, MI
- NPI 1215026281
-
- Anesthesiology Physician
- Port Charlotte, FL
- NPI 1013782861
Nurse Anesthetist, Certified Registered
-
dba Henry Ford Genesys Hospital
- Certified Registered Nurse Anesthetist
- Grand Blanc, MI
- NPI 1558517367
-
- Certified Registered Nurse Anesthetist
- Ypsilanti, MI
- NPI 1184069874
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Fawcett Hospital
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1417901406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384819200000",
"number": "1912054925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 N EAST AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011753",
"telephone_number": "517-788-4963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N EAST AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011753",
"telephone_number": "517-788-4963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLASK",
"first_name": "PATRICIA",
"middle_name": "E",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2013-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704207473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.