MICHELE L MACK CRNA
NPI 1013941921
Nurse Anesthetist, Certified Registered in Dearborn, MI
About Michele L Mack Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELE L MACK CRNA (NPI 1013941921) is an individual nurse anesthetist, certified registered in Dearborn, Michigan, licensed in Michigan (4704172231) and active in the NPI registry since July 2006. She is affiliated with Harper University Hospital and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Michele L Mack Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
10Medicare enrollment records show Michele Mack reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dearborn, MI 48124
- Reassigned Medicare billing, Michigan enrollment
- 37 clinicians in this Medicare group
Dearborn, MI 48124
- Reassigned Medicare billing, Michigan enrollment
- 101 clinicians in this Medicare group
Wyandotte, MI 48192
- Reassigned Medicare billing, Michigan enrollment
- 11 clinicians in this Medicare group
Troy, MI 48098
- Reassigned Medicare billing, Michigan enrollment
- 87 clinicians in this Medicare group
Troy, MI 48098
- Reassigned Medicare billing, Michigan enrollment
- 176 clinicians in this Medicare group
Rochester, MI 48307
- Reassigned Medicare billing, Michigan enrollment
- 67 clinicians in this Medicare group
Monroe, MI 48162
- Reassigned Medicare billing, Michigan enrollment
- 109 clinicians in this Medicare group
Macomb, MI 48044
- Reassigned Medicare billing, Michigan enrollment
- 87 clinicians in this Medicare group
Irving, TX 75038
- Reassigned Medicare billing, Michigan enrollment
- 283 clinicians in this Medicare group
Irving, TX 75038
- Reassigned Medicare billing, Michigan enrollment
- 369 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Harper University Hospital
Acute Care Hospitals · Detroit, MIKarmanos Cancer Center
Acute Care Hospitals · Detroit, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DEARBORN, MI 48124
DEARBORN, MI 48124
DEARBORN, MI 48124
DEARBORN, MI 48124
DEARBORN, MI 48124
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Michele Mack's NPI number?
The NPI number for Michele Mack is 1013941921. It was assigned to this individual provider in the NPPES registry on July 10, 2006.
Where is Michele Mack located?
Michele Mack practices at 18100 Oakwood Blvd Suite 100, Dearborn, MI 48124. The listed phone number is (313) 253-2000.
What is Michele Mack's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Michele Mack enrolled in Medicare?
Yes. Michele Mack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Michele Mack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michele Mack reassigns Medicare benefits to 10 organizations: Motor City Anesthesia Services PLLC (Dearborn, MI), Southfield Rehabilitation Company (Dearborn, MI), Conquest Pain Management, LLC (Wyandotte, MI), Surgical Centers Of Michigan, LLC (Troy, MI), Superior Anesthetists Associates, Inc. (Troy, MI) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michele Mack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Michele Mack affiliated with any hospitals?
According to CMS data, Michele Mack is affiliated with Harper University Hospital and Karmanos Cancer Center.
When was this NPI record last updated?
The NPPES record for Michele Mack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Michele L Mack, CRNA · NPI 1013941921
Nurse Anesthetist, Certified Registered physician in Dearborn, Michigan. Individual provider, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1013941921 (Entity type: Individual)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704172231 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 18100 OAKWOOD BLVD, SUITE 100, Dearborn, MI 48124-4085
- **Phone:** (313) 253-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Motor City Anesthesia Services PLLC (NPI 1457058125, Dearborn, MI); Southfield Rehabilitation Company (NPI 1285906792, Dearborn, MI); Conquest Pain Management, LLC (NPI 1164871216, Wyandotte, MI); Surgical Centers Of Michigan, LLC (NPI 1518367234, Troy, MI); Superior Anesthetists Associates, Inc. (NPI 1831144518, Troy, MI); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicaid 4793024 (MI); Medicaid 4852368 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1013941921) · Data from the CMS NPPES public registry.