JEREL RUBIO
NPI 1043056393
Nurse Anesthetist, Certified Registered in Dearborn, MI

Active since July 06, 2024
18101 OAKWOOD BLVD, DEARBORN, MI 48124(313) 593-7000 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 18, 2025, Jul 6, 2024 (2 updates tracked since 2024).

About Jerel Rubio NPPES

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

JEREL RUBIO (NPI 1043056393) is an individual nurse anesthetist, certified registered in Dearborn, Michigan, licensed in Michigan (4704324747) and active in the NPI registry since July 2024. He is affiliated with Beaumont Hospital - Dearborn and is a graduate of Wayne State University School Of Medicine (2024).

NPPES Registry Identity

NPI1043056393
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJEREL RUBIO
Location Address18101 OAKWOOD BLVDDearborn, MI 48124-4089
Mailing Address329 E Lawrence AveRoyal Oak, MI 48073-3449 · (248) 227-9536
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2024
Enumeration DateJuly 6, 2024
Last NPPES UpdateJune 18, 20252 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
NPI 1043056393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in MI · 4704324747
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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 4704324747 (MI)
18101 OAKWOOD BLVD, Dearborn, MI 48124

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jerel Rubio is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496280489
PECOS Enrollment IDI20241127003217

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital - Dearborn

Acute Care Hospitals · Dearborn, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230020
Location18101 Oakwood BlvdDearborn, MI 48124 · Wayne County
Emergency services Birthing friendly

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.

Nurse Practitioner
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Emergency Medicine (Emergency Medical Services)
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Emergency Medicine
18101 OAKWOOD BLVD, EMERGENCY MEDICINE DPARTMENT
DEARBORN, MI 48124
Emergency Medicine (Emergency Medical Services)
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Emergency Medicine
18101 OAKWOOD BLVD, EMERGENCY MEDICINE DEPARTMENT
DEARBORN, MI 48124
Nurse Practitioner
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Emergency Medicine (Emergency Medical Services)
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Nurse Practitioner
18101 OAKWOOD BLVD
DEARBORN, MI 48124

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043056393, enumerated as an "individual" on July 06, 2024.

The provider is located at 18101 OAKWOOD BLVD DEARBORN, MI 48124 and the phone number is (313) 593-7000.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Jerel Rubio is affiliated with: BEAUMONT HOSPITAL - DEARBORN.