ST MARY MERCY HOSPITAL CRNA
NPI 1063602092
Nurse Anesthetist, Certified Registered in Livonia, MI

Active since July 26, 2007
36475 5 MILE RD, LIVONIA, MI 48154(734) 655-4800(734) 655-1274 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About St Mary Mercy Hospital Crna NPPES

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

ST MARY MERCY HOSPITAL CRNA (NPI 1063602092) is a healthcare organization registered as a nurse anesthetist, certified registered in Livonia, Michigan and active in the NPI registry since July 2007. The organization lists Michael Gusho, Cfo, as its authorized official.

NPPES Registry Identity

NPI1063602092
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameST MARY MERCY HOSPITAL CRNA
Location Address36475 5 MILE RDLivonia, MI 48154-1971
Mailing Address36475 5 Mile RdLivonia, MI 48154-1971 · (734) 655-4800 · Fax (734) 655-1274
Fax(734) 655-1274
Organization SubpartYesParent: St Mary Mercy Hospital
Authorized OfficialMichael GushoCfo · (248) 763-3575
Enumeration DateJuly 26, 2007
Last NPPES UpdateJanuary 6, 2025
NPPES CertifiedJanuary 6, 2025
✔ NPI 1063602092 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
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 ListedAnesthesiologyTaxonomy 207L00000X
36475 5 MILE RD, Livonia, MI 48154

Other Identifiers 1

Other430H233570MI · Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St Mary Mercy Hospital Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

97

Medicare enrollment records show 97 clinicians reassign Medicare billing to St Mary Mercy Hospital Crna, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 37 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Certified Registered Nurse Anesthetist (CRNA)70
Anesthesiology26
Pain Management1

Nearest to this location (20)

See all 97
Certified Registered Nurse Anesthetist (CRNA)
NPI 1609806967
36475 5 MILE RD
Livonia, MI 48154
(734) 655-2022
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1265463749
36475 5 MILE RD
Livonia, MI 48154
(734) 655-2022
Same address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1326183906
36475 5 MILE RD
Livonia, MI 48154
(734) 655-2022
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1154358315
36475 5 MILE RD
Livonia, MI 48154
(734) 655-2022
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1700124302
36475 5 MILE RD
Livonia, MI 48154
(734) 655-4800
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1548291198
36475 5 MILE RD
Livonia, MI 48154
(734) 655-2022
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1578835393
36475 5 MILE RD
Livonia, MI 48154
(734) 655-4800
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1114221058
36475 FIVE MILE RD
Livonia, MI 48154
(734) 655-4800
✔ Accepts Medicare1.6 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1790350064
36650 FIVE MILE RD
Livonia, MI 48154
(734) 434-6262
1.7 mi
Anesthesiology
NPI 1316060288
36475 FIVE MILE RD
Livonia, MI 48154
(734) 655-4800
✔ PECOS✔ Accepts Medicare1.7 mi
Anesthesiology
NPI 1184670291
36475 FIVE MILE RD
Livonia, MI 48154
(734) 655-4800
✔ PECOS✔ Accepts Medicare1.7 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1831613587
36475 FIVE MILE RD
Livonia, MI 48154
(734) 655-4800
✔ Accepts Medicare1.7 mi
Anesthesiology
NPI 1720026453
36475 FIVE MILE RD
Livonia, MI 48154
(734) 655-2022
✔ PECOS1.7 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1659888980
36475 FIVE MILE RD
Livonia, MI 48154
(734) 655-4800
✔ Accepts Medicare1.7 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1972975498
36475 WEST FIVE MILE ROAD
Livonia, MI 48154
(248) 910-5048
✔ Accepts Medicare1.7 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1720186208
36475 FIVE MILE RD
Livonia, MI 48154
(734) 655-2031
✔ Accepts Medicare1.7 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1225450653
36475 FIVE MILE RD
Livonia, MI 48154
(734) 655-4800
✔ Accepts Medicare1.7 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1811460686
36475 FIVE MILE RD
Livonia, MI 48154
(734) 655-4800
✔ Accepts Medicare1.7 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1699371443
36475 FIVE MILE RD
Livonia, MI 48154
(734) 655-4800
✔ Accepts Medicare1.7 mi
Anesthesiology
NPI 1871892364
36475 FIVE MILE RD
Livonia, MI 48154
(734) 655-2022
✔ PECOS1.7 mi
See all 97 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 St Mary Mercy Hospital Crna's NPI number?

The NPI number for St Mary Mercy Hospital Crna is 1063602092. It was assigned to this organization in the NPPES registry on July 26, 2007.

Where is St Mary Mercy Hospital Crna located?

St Mary Mercy Hospital Crna is located at 36475 5 Mile Rd, Livonia, MI 48154. The listed phone number is (734) 655-4800.

What is St Mary Mercy Hospital Crna's specialty?

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

Is St Mary Mercy Hospital Crna enrolled in Medicare?

Yes. St Mary Mercy Hospital Crna is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Mary Mercy Hospital Crna?

According to the CMS Revalidation Reassignment List (October 2026 release), 97 clinicians in 3 Medicare specialties reassign their Medicare billing to St Mary Mercy Hospital Crna. A 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 the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (70), Anesthesiology (26) and Pain Management (1). Of these, 7 practice at this address and 37 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does St Mary Mercy Hospital Crna accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list St Mary Mercy Hospital Crna as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St Mary Mercy Hospital Crna was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.