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MICHELE L MACK CRNA
NPI 1013941921
Nurse Anesthetist, Certified Registered in Dearborn, MI

Active since July 10, 2006Accepts Medicare Assignment
100/100
CMS Quality Rating
18100 OAKWOOD BLVD, SUITE 100, DEARBORN, MI 48124(313) 253-2000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1013941921
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMICHELE L MACKCredential: CRNA
Location Address18100 OAKWOOD BLVD, SUITE 100Dearborn, MI 48124-4085
Mailing Address18100 Oakwood Blvd, Suite 100Dearborn, MI 48124-4085 · (313) 253-2000
Phone(313) 253-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013941921 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
License✔ Licensed in MI · 4704172231
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.
18100 OAKWOOD BLVD, Dearborn, MI 48124
Open in Google Maps ↗

Other Identifiers 2

Medicaid4793024MI
Medicaid4852368MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7517906191
PECOS Enrollment IDI20050503000617

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, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Karmanos Cancer Center

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number230297
Location4100 John RDetroit, MI 48201 · Wayne County

Physician 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.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.26
Improvement Activities40

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.

MELODY Y LOWE CRNA
Nurse Anesthetist, Certified Registered
18100 OAKWOOD BLVD, SUITE 100
DEARBORN, MI 48124
Wayne County (313) 253-2000
VIOLET ASFOUR
Internal Medicine
18100 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 436-2578
SUMMER ZAYED PA-C
Physician Assistant
18100 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 438-7992
ADVANCED PAIN & SPINE INSTITUTE PC
Pain Medicine (Interventional Pain Medicine)
18100 OAKWOOD BLVD, SUITE 203
DEARBORN, MI 48124
Wayne County (313) 434-7246
DR. NILOOFAR ANOOSHIRAVANI MD
Dermatology
18100 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 240-4900
CALVIN STEWART CRNA
Nurse Anesthetist, Certified Registered
18100 OAKWOOD BLVD, SUITE 100
DEARBORN, MI 48124
Wayne County (313) 253-2000
DAVID C WHITESELL CRNA
Nurse Anesthetist, Certified Registered
18100 OAKWOOD BLVD, SUITE 100
DEARBORN, MI 48124
Wayne County (313) 253-2000
TRACY K DELGADO CRNA
Nurse Anesthetist, Certified Registered
18100 OAKWOOD BLVD, SUITE 100
DEARBORN, MI 48124
Wayne County (313) 253-2000

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.

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.