Individual provider Active NPI

Jordan Melissa Wroby-Chang, RN, CRNA

  • Certified Registered Nurse Anesthetist
  • Novi, MI
National Provider Identifier
1962830711
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704272454 Issued in MI
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

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20140107000280 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870721442 Reassigns benefits to 14 organizations

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
Asa Staffing IncGroup PAC ID 3971898644, 146 clinicians
Axon Anesthesia Consultants PLCGroup PAC ID 7012276819, 11 clinicians
Long Lake Anesthesiology Consultants PLCGroup PAC ID 7113818980, 94 clinicians

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

LicenseStateTypeSpecialty
4704272454MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Macomb Endoscopy Center, PLC CurrentSince Sep 1, 2015 Accepting new patients
Macomb Endoscopy Center PLC CurrentSince Sep 1, 2015 Accepting new patients
Henry Ford Health System Nurse Anesthetist, Certified Registered CurrentSince Nov 18, 2013 Accepting new patients
Henry Ford Health System CurrentSince Nov 18, 2013 Accepting new patients
Amk Anesthesia Staffing, Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
Axon Anesthesia Consultants, PLC CurrentSince Jul 14, 2019 Accepting new patients
Northwestern Services, LLC CurrentSince May 7, 2024 Accepting new patients
Surgical Centers of Michigan, LLC. CurrentSince Sep 1, 2015 Accepting new patients
Northwestern Services, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
University Physician Group CurrentSince Feb 9, 2021 Accepting new patients
Long Lake Anesthesiology Consultants, PLC CurrentSince Nov 20, 2025 Accepting new patients
West Michigan Aas LLC CurrentSince Apr 1, 2024 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince May 11, 2025 Accepting new patients
Northstar Anesthesia of Michigan II PC Nurse Anesthetist, Certified Registered CurrentSince Oct 15, 2015 Accepting new patients
Novi Aas LLC CurrentSince Mar 1, 2026 Accepting new patients
Asa Staffing Inc Nurse Anesthetist, Certified Registered CurrentSince May 29, 2025 Accepting new patients
Surgical Centers of Michigan, LLC CurrentSince Sep 1, 2015 Accepting new patients
Environ Anesthesia, LLC. Nurse Anesthetist, Certified Registered CurrentSince Apr 9, 2024 Accepting new patients
Henry Ford Health Providence Hospital Nurse Anesthetist, Certified Registered CurrentSince May 11, 2025 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.

View all 19

Hospital & facility affiliations 1

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": "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.

Verify at the official NPI Registry.