BOTSFORD GENERAL HOSPITAL
NPI 1235179664
Nurse Anesthetist, Certified Registered in Farmington Hills, MI
About Botsford General Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOTSFORD GENERAL HOSPITAL (NPI 1235179664) is a healthcare organization registered as a nurse anesthetist, certified registered in Farmington Hills, Michigan and active in the NPI registry since June 2006. The organization lists Lee Ann Odom, President Shared Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Botsford General Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
69Medicare enrollment records show 69 clinicians reassign Medicare billing to Botsford General Hospital, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 32 within 10 miles. Listed here are the 20 practicing nearest to this location.
Nearest to this location (20)
See all 69Source: 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 Botsford General Hospital's NPI number?
The NPI number for Botsford General Hospital is 1235179664. It was assigned to this organization in the NPPES registry on June 7, 2006.
Where is Botsford General Hospital located?
Botsford General Hospital is located at 28050 Grand River Ave, Farmington Hills, MI 48336. The listed phone number is (248) 471-8720.
What is Botsford General Hospital's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Botsford General Hospital enrolled in Medicare?
Yes. Botsford General Hospital is registered in the Medicare PECOS enrollment system.
When is Botsford General Hospital's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Botsford General Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 69 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Botsford General Hospital. 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. Of these, 17 practice at this address and 32 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Botsford General Hospital accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Botsford General Hospital 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 Botsford General Hospital was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Botsford General Hospital · NPI 1235179664
Nurse Anesthetist, Certified Registered organization in Farmington Hills, Michigan. Organization record, active in the CMS NPPES registry since June 7, 2006.
## Identity
- **NPI:** 1235179664 (Entity type: Organization)
- **Enumerated:** June 7, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **Organization subpart:** Yes (part of Botsford General Hospital)
- **Authorized official:** Lee Odom, PRESIDENT SHARED SERVICES
## Practice location
- **Address:** 28050 GRAND RIVER AVE, Farmington Hills, MI 48336-5919
- **Phone:** (248) 471-8720 · **Fax:** (248) 471-8966
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 69 clinicians (Certified Registered Nurse Anesthetist (CRNA)) reassign Medicare billing to this organization (form CMS-855R); 17 practice at this address and 32 within 10 miles; [full list](https://npiprofile.com/npi/1235179664/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 18, 2021
- **Other identifiers:** Other 430F364590 (MI); Other CD7969 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1235179664) · Data from the CMS NPPES public registry.