Active NPI
Jordan Melissa Wroby-Chang, RN, CRNA
- Certified Registered Nurse Anesthetist
- Novi, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704272454
- Practice address
- 39450 W 12 Mile Rd
Novi, MI 48377-3600 - Phone
- (313) 916-9325
- NPI assigned
- Oct 14, 2013
- 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 | 4704272454 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704272454 | MI | Primary |
Addresses
Primary practice location
39450 W 12 Mile Rd
Novi, MI 48377-3600
Mailing address
39450 W 12 Mile Rd
Novi, MI 48377-3600
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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 Pine Grove Ave
Port Huron, MI 48060-3511
Phone (810) 987-5000
1375 S Lapeer Rd
Suite 109
Lake Orion, MI 48360-1421
Phone (734) 212-3097
29110 Inkster Rd
Suite 100
Southfield, MI 48034-1085
Phone (248) 234-9300
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 |
|---|---|---|---|
| 4704272454 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macomb Endoscopy Center, PLC | Current | Accepting new patients | |
| Macomb Endoscopy Center PLC | Current | Accepting new patients | |
| Henry Ford Health System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients | |
| Amk Anesthesia Staffing, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Axon Anesthesia Consultants, PLC | Current | Accepting new patients | |
| Northwestern Services, LLC | Current | Accepting new patients | |
| Surgical Centers of Michigan, LLC. | Current | Accepting new patients | |
| Northwestern Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Physician Group | Current | Accepting new patients | |
| Long Lake Anesthesiology Consultants, PLC | Current | Accepting new patients | |
| West Michigan Aas LLC | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| Northstar Anesthesia of Michigan II PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novi Aas LLC | Current | Accepting new patients | |
| Asa Staffing Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Surgical Centers of Michigan, LLC | Current | Accepting new patients | |
| Environ Anesthesia, LLC. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health Providence Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations (25 of 29)
2009 Momentum Pl
Chicago, IL 60689
949 National Ave
Ste 151
Lexington, KY 40502
Phone (859) 509-8399
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
30055 Northwestern Hwy
Ste L-60
Farmington Hills, MI 48334
Phone (248) 265-6555
4024 Park East Ct SE
Grand Rapids, MI 49546
Phone (231) 592-3102
3800 Centennial Dr
Grass Lake, MI 49240
Phone (517) 701-3100
1375 S Lapeer Rd
Ste 109
Lake Orion, MI 48360
Phone (248) 693-7950
3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063
1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033
34020 7 Mile Rd
Ste 101
Livonia, MI 48152
Phone (248) 516-5016
48801 Romeo Plank Rd
Ste 101
Macomb, MI 48044
Phone (586) 726-8423
39450 W Twelve Mile Rd
Novi, MI 48377
Phone (248) 344-0710
25500 Meadowbrook Rd
Ste 110
Novi, MI 48375
Phone (248) 477-0220
43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658
26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500
44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
920 River Centre Dr
Port Huron, MI 48060
Phone (810) 984-5200
326 N Main St
Royal Oak, MI 48067
Phone (248) 584-7600
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
29110 Inkster Rd
Ste 100
Southfield, MI 48034
Phone (248) 234-9300
26400 W 12 Mile Rd
Ste 140
Southfield, MI 48034
Phone (248) 352-8200
Organizations & group practices 19
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.
-
- Certified Registered Nurse Anesthetist
- Rochester, MI
- NPI 1114378981
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lake Orion, MI
- NPI 1235643495
-
- Anesthesiology Physician
- Troy, MI
- NPI 1194812651
-
- Certified Registered Nurse Anesthetist
- Livonia, MI
- NPI 1225617087
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Southfield, MI
- NPI 1851339196
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Detroit, MI
- NPI 1871666479
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Macomb, MI
- NPI 1780923128
-
- Certified Registered Nurse Anesthetist
- Farmington Hills, MI
- NPI 1215106679
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Novi, MI
- NPI 1598176919
-
- Ambulatory Surgical Clinic/Center
- Troy, MI
- NPI 1962463133
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
-
- Anesthesiology Physician
- Novi, MI
- NPI 1295149227
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southfield, MI
- NPI 1548268436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1962830711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39450 W 12 MILE RD",
"city": "NOVI",
"state": "MI",
"postal_code": "483773600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39450 W 12 MILE RD",
"city": "NOVI",
"state": "MI",
"postal_code": "483773600",
"telephone_number": "313-916-9325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WROBY-CHANG",
"first_name": "JORDAN",
"middle_name": "MELISSA",
"name_prefix": "Miss",
"credential": "RN, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-14",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704272454",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704272454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.