ALICIA GRANICA
NPI 1093427825
Nurse Anesthetist, Certified Registered in Detroit, MI

Q: What is Alicia Granica's NPI number?

The NPI number for Alicia Granica is 1093427825. It was assigned to this individual provider in the NPPES registry on December 26, 2022.

Q: What is Alicia Granica'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 Alicia Granica was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since December 26, 2022

4001 W MCNICHOLS RD, DETROIT, MI 48221(734) 558-7088 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2025, Dec 26, 2022 (2 updates tracked since 2022).

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About Alicia Granica NPPES

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

ALICIA GRANICA (NPI 1093427825) is an individual nurse anesthetist, certified registered in Detroit, Michigan, licensed in Michigan (4704326600) and active in the NPI registry since December 2022. She is affiliated with Beaumont Hospital - Dearborn and is a graduate of Other (2024).

NPPES Registry Identity

NPI1093427825

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameALICIA GRANICA

Location Address4001 W MCNICHOLS RDDetroit, MI 48221-3038

Mailing Address25340 Kelli CtTaylor, MI 48180-5071 · (734) 558-7088

Phone(734) 558-7088

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateDecember 26, 2022

Last NPPES UpdateJune 18, 20252 updates tracked since enumeration

NPPES CertifiedJune 18, 2025

✔ NPI 1093427825 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 · 4704326600

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 4704326600 (MI)

4001 W MCNICHOLS RD, Detroit, MI 48221

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7315479854

PECOS Enrollment IDI20241022002318

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.

JESSICA TRINDADE NOUHRA

Registered Nurse