SOUTH SHORE ANESTHESIA STAFFING
NPI 1013525112
Nurse Anesthetist, Certified Registered in Marquette, MI

Q: What is South Shore Anesthesia Staffing's NPI number?

The NPI number for South Shore Anesthesia Staffing is 1013525112. It was assigned to this organization in the NPPES registry on July 15, 2020.

Q: What is South Shore Anesthesia Staffing's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since July 15, 2020

1414 W FAIR AVE STE 235, MARQUETTE, MI 49855(906) 361-4901 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2020, Aug 13, 2020, Jul 15, 2020 (3 updates tracked since 2020).

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About South Shore Anesthesia Staffing NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH SHORE ANESTHESIA STAFFING (NPI 1013525112) is a healthcare organization registered as a nurse anesthetist, certified registered in Marquette, Michigan and active in the NPI registry since July 2020. The organization maintains a secondary practice location in L'anse and lists Peter Skellenger, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013525112

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameSOUTH SHORE ANESTHESIA STAFFING

Location Address1414 W FAIR AVE STE 235Marquette, MI 49855-5406

Mailing AddressPo Box 4419Woodland Hills, CA 91365-4419 · (818) 340-9988

Phone(906) 361-4901

Organization SubpartNo

Authorized OfficialPeter SkellengerCeo · (906) 399-3611

Enumeration DateJuly 15, 2020

Last NPPES UpdateSeptember 3, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2020

✔ NPI 1013525112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1414 W FAIR AVE STE 235, Marquette, MI 49855

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Secondary Practice Location 1

Location 118341 US Hwy 41L'Anse, MI 49946-8024 · Phone (906) 524-3300

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Shore Anesthesia Staffing is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 21 clinicians reassign Medicare billing to South Shore Anesthesia Staffing, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. Listed here are the 20 practicing nearest to this location.