ST JOSEPH MERCY CHELSEA INC
NPI 1023642055
Nurse Anesthetist, Certified Registered in Chelsea, MI

NPI Status: Active since February 28, 2020

Contact Information

775 S MAIN ST
CHELSEA, MI
ZIP 48118
Phone: (734) 593-5898
Fax: (734) 593-5895

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  • Organization
  • Nurse Anesthetist, Certified Registered
  • CLIA Number: 23D2173469
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 10-14-2027

About ST JOSEPH MERCY CHELSEA INC

This page provides the complete NPI Profile along with additional information for St Joseph Mercy Chelsea Inc, a provider established in Chelsea, Michigan operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1023642055 assigned on February 2020. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Michael Gusho (Cfo)

NPI
1023642055
Provider Name
ST JOSEPH MERCY CHELSEA INC
Entity Type
Organization
Location Address
775 S MAIN ST CHELSEA, MI 48118
Location Phone
(734) 593-5898
Location Fax
(734) 593-5895
Mailing Address
20555 VICTOR PKWY LIVONIA, MI 48152
Mailing Phone
(734) 343-0396
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-28-2020
Last Update Date
02-28-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL GUSHO

Authorized Official Title
CFO
Authorized Official Phone
(734) 343-0396

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2173469
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
October 15, 2025
Certificate Expiration Date
October 14, 2027
Laboratory Director
CHRISTIAN B. CALAGUAS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St Joseph Mercy Chelsea Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023642055, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 6 → 12 → 3 2 → 4 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 1 + 2 + 4 + 4 + 0 + 1 + 0 + 24 = 45

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1023642055.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology (Gynecology)
775 S MAIN ST
CHELSEA, MI 48118
Physician Assistant
775 S MAIN ST
CHELSEA, MI 48118
Emergency Medicine (Emergency Medical Services)
775 S MAIN ST
CHELSEA, MI 48118
Emergency Medicine (Emergency Medical Services)
775 S MAIN ST
CHELSEA, MI 48118
Anesthesiology
775 S MAIN ST
CHELSEA, MI 48118
Nurse Practitioner (Women's Health)
775 S MAIN ST
CHELSEA, MI 48118
Emergency Medicine
775 S MAIN ST
CHELSEA, MI 48118
Anesthesiology
775 S MAIN ST
CHELSEA, MI 48118
Anesthesiology
775 S MAIN ST
CHELSEA, MI 48118
Emergency Medicine (Emergency Medical Services)
775 S MAIN ST
CHELSEA, MI 48118
Emergency Medicine
775 S MAIN ST
CHELSEA, MI 48118
Emergency Medicine (Emergency Medical Services)
775 S MAIN ST
CHELSEA, MI 48118
Physical Therapist
775 S MAIN ST, CHELSEA COMMUNITY HOSPITAL PHYSICAL THERAPY
CHELSEA, MI 48118
Psychiatry & Neurology (Psychiatry)
775 S MAIN ST
CHELSEA, MI 48118
Social Worker (Clinical)
775 S MAIN ST
CHELSEA, MI 48118
Social Worker (Clinical)
775 S MAIN ST, CHELSEA COMMUNITY HOSPITAL,OUTPATIENT BEHAVIORAL HEALTH
CHELSEA, MI 48118
Occupational Therapist
775 S MAIN ST
CHELSEA, MI 48118
Social Worker (Clinical)
775 S MAIN ST
CHELSEA, MI 48118
Social Worker (Clinical)
775 S MAIN ST
CHELSEA, MI 48118
Registered Nurse (Psychiatric/Mental Health, Adult)
775 S MAIN ST
CHELSEA, MI 48118

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023642055, enumerated as an "organization" on February 28, 2020.

The provider is located at 775 S MAIN ST CHELSEA, MI 48118 and the phone number is (734) 593-5898.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.