MICHAEL ANTHONY D'AGOSTINO BSN, RN
NPI 1245923069
Nurse Anesthetist, Certified Registered in Fraser, MI

Q: What is Michael D'agostino's NPI number?

The NPI number for Michael D'agostino is 1245923069. It was assigned to this individual provider in the NPPES registry on May 29, 2023.

Q: What is Michael D'agostino's specialty?

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

Active since May 29, 2023

15342 CAMBRIDGE DR, FRASER, MI 48026(586) 489-7637 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Michael Anthony D'agostino Bsn, Rn NPPES

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

MICHAEL ANTHONY D'AGOSTINO BSN, RN (NPI 1245923069) is an individual nurse anesthetist, certified registered in Fraser, Michigan, licensed in Michigan (4704311364) and active in the NPI registry since May 2023. He is affiliated with Beaumont Hospital - Grosse Pointe and is a graduate of Other (2020).

NPPES Registry Identity

NPI1245923069

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMICHAEL ANTHONY D'AGOSTINOCredential: BSN, RN

Location Address15342 CAMBRIDGE DRFraser, MI 48026-2364

Mailing Address15342 Cambridge DrFraser, MI 48026-2364

Phone(586) 489-7637

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateMay 29, 2023

Last NPPES UpdateMay 1, 2025

NPPES CertifiedMay 1, 2025

✔ NPI 1245923069 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 · 4704311364

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 4704311364 (MI)

15342 CAMBRIDGE DR, Fraser, MI 48026

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Anthony D'agostino Bsn, Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557715737

PECOS Enrollment IDI20230921001393

Medicare Billing Reassignments

Medicare enrollment records show Michael D'agostino reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St John Hospital And Medical Center

6.4 mi

Nurse Anesthetist, Certified Registered

26755 BALLARD ST
Harrison Township, MI 48045

Reassigned Medicare billing, Michigan enrollment
Medicare enrollment name: Henry Ford Health St. John Hospital
132 clinicians in this Medicare group

NPI 1740312685 (583) 753-0011

Northstar Anesthesia Of Michigan III PLLC

1,013 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230089

Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County

Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230165

Location22101 Moross RdDetroit, MI 48236 · Wayne County

Emergency services Birthing friendly

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 Michael D'agostino's NPI number?

The NPI number for Michael D'agostino is 1245923069. It was assigned to this individual provider in the NPPES registry on May 29, 2023.

Where is Michael D'agostino located?

Michael D'agostino practices at 15342 Cambridge Dr, Fraser, MI 48026. The listed phone number is (586) 489-7637.

What is Michael D'agostino's specialty?

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

Is Michael D'agostino enrolled in Medicare?

Yes. Michael D'agostino is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael D'agostino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael D'agostino reassigns Medicare benefits to 2 organizations: St John Hospital And Medical Center (Harrison Township, 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 Michael D'agostino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael D'agostino accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Michael D'agostino 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.

Is Michael D'agostino affiliated with any hospitals?

According to CMS data, Michael D'agostino is affiliated with Beaumont Hospital - Grosse Pointe and Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Michael D'agostino was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.