CARMEN G KISLOV CRNA
NPI 1063599876
Nurse Anesthetist, Certified Registered in Wayne, MI

Active since November 01, 2006
33155 ANNAPOLIS ST, WAYNE, MI 48184(734) 467-4667(734) 467-2303 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carmen G Kislov Crna NPPES

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

CARMEN G KISLOV CRNA (NPI 1063599876) is an individual nurse anesthetist, certified registered in Wayne, Michigan, licensed in Michigan (4704210733) and active in the NPI registry since November 2006. She is affiliated with Corewell Health Wayne Hospital and is a graduate of Other (2000).

NPPES Registry Identity

NPI1063599876
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameCARMEN G KISLOVCredential: CRNA
Location Address33155 ANNAPOLIS STWayne, MI 48184-2405
Mailing Address33155 Annapolis StWayne, MI 48184-2405 · (734) 467-4667 · Fax (734) 467-2303
Fax(734) 467-2303
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1063599876 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 · 4704210733
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.

33155 ANNAPOLIS ST, Wayne, MI 48184

Other Names 1

Former Name (1)Carmen G Blan Crna

Other Identifiers 1

Medicaid4328730MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carmen G Kislov Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921086620
PECOS Enrollment IDI20040709000563

Hospital Affiliations CMS Care Compare

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

Corewell Health Wayne Hospital

Acute Care Hospitals · Wayne, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230142
Location33155 Annapolis AveWayne, MI 48184 · 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
33155 ANNAPOLIS ST, EMERGENCY MEDICINE DEPARTMENT
WAYNE, MI 48184
Physician Assistant
33155 ANNAPOLIS ST
WAYNE, MI 48184
Emergency Medicine
33155 ANNAPOLIS ST, EMERGENCY MEDICINE DEPARTMENT
WAYNE, MI 48184
Nurse Anesthetist, Certified Registered
33155 ANNAPOLIS ST
WAYNE, MI 48184
Nurse Anesthetist, Certified Registered
33155 ANNAPOLIS ST
WAYNE, MI 48184
Nurse Anesthetist, Certified Registered
33155 ANNAPOLIS ST
WAYNE, MI 48184
Nurse Anesthetist, Certified Registered
33155 ANNAPOLIS ST
WAYNE, MI 48184
Nurse Anesthetist, Certified Registered
33155 ANNAPOLIS ST
WAYNE, MI 48184

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 Carmen Kislov's NPI number?

The NPI number for Carmen Kislov is 1063599876. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Carmen Kislov located?

Carmen Kislov practices at 33155 Annapolis St, Wayne, MI 48184. The listed phone number is (734) 467-4667.

What is Carmen Kislov's specialty?

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

Is Carmen Kislov enrolled in Medicare?

Yes. Carmen Kislov is registered in the Medicare PECOS enrollment system.

Is Carmen Kislov affiliated with any hospitals?

According to CMS data, Carmen Kislov is affiliated with Corewell Health Wayne Hospital.

When was this NPI record last updated?

The NPPES record for Carmen Kislov was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.