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

Q: 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. The provider is also known as Carmen G Blan Crna.

Q: What is Carmen Kislov's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carmen Kislov 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.

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: November 01, 2026.

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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

Phone(734) 467-4667

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

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Other Names 1

Former Name (1)Carmen G Blan Crna

Other Identifiers 1

Medicaid4328730MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignments

Medicare enrollment records show Carmen Kislov reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Center For Digestive Care LLC

15 mi

Ambulatory Surgical

5300 ELLIOTT DR
Ypsilanti, MI 48197

Reassigned Medicare billing, Michigan enrollment
35 clinicians in this Medicare group

NPI 1164528527 (734) 434-6262

Chelsea Community Hospital

34 mi

Nurse Anesthetist, Certified Registered

775 S MAIN ST
Chelsea, MI 48118

Reassigned Medicare billing, Michigan enrollment
62 clinicians in this Medicare group

NPI 1568542967 (734) 475-6914

Northstar Anesthesia Of Michigan III PLLC

986 mi

Pain Medicine

6225 N STATE HIGHWAY 161 STE 200
Irving, TX 75038

Reassigned Medicare billing, Michigan enrollment
905 clinicians in this Medicare group

NPI 1972126209 (214) 687-0001

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

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.

CHRISTOPHER LAJEUNESSE MD

Family Medicine

33155 ANNAPOLIS ST
WAYNE, MI 48184

Wayne County (734) 467-2483

ELIZABETH LEWANDOWSKI

Family Medicine

33155 ANNAPOLIS ST
WAYNE, MI 48184

Wayne County (734) 467-4000

DR. SUSAN HORLING D.O.

Emergency Medicine

33155 ANNAPOLIS ST, EMERGENCY MEDICINE DEPARTMENT
WAYNE, MI 48184

Wayne County (734) 467-4042

MRS. KIMBERLY ANN HARBER CRNA

Nurse Anesthetist, Certified Registered

33155 ANNAPOLIS ST
WAYNE, MI 48184

Wayne County (734) 467-4000

TERA MELANNE GOLDMAKHER MD

Emergency Medicine

33155 ANNAPOLIS ST, EMERGENCY DEPT
WAYNE, MI 48184

Wayne County (734) 467-4042

KERRILY QUAY RN,MSN,ACAGNP-BC

Nurse Practitioner

33155 ANNAPOLIS ST
WAYNE, MI 48184

Wayne County (734) 467-4000

STEPHEN VENABLE MD, MPH, RN

Family Medicine

33155 ANNAPOLIS ST
WAYNE, MI 48184

Wayne County (734) 467-4000

MATTHEW J OUELLETTE DO

Family Medicine

33155 ANNAPOLIS ST
WAYNE, MI 48184

Wayne County (734) 467-2483

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. The provider is also known as Carmen G Blan Crna.

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.

Which organizations bill Medicare for Carmen Kislov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Kislov reassigns Medicare benefits to 3 organizations: Center For Digestive Care LLC (Ypsilanti, MI), Chelsea Community Hospital (Chelsea, MI) and Northstar Anesthesia Of Michigan III PLLC (Irving, TX). 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 Carmen Kislov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 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.