MARLENE FORD CRNA
NPI 1255382164
Nurse Anesthetist, Certified Registered in Niles, MI

Q: What is Marlene Ford's NPI number?

The NPI number for Marlene Ford is 1255382164. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Q: What is Marlene Ford'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 Marlene Ford was last updated on December 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 May 15, 2006Accepts Medicare Assignment

31 N SAINT JOSEPH AVE, NILES, MI 49120(269) 687-1879(269) 683-0104 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Marlene Ford Crna NPPES

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

MARLENE FORD CRNA (NPI 1255382164) is an individual nurse anesthetist, certified registered in Niles, Michigan, licensed in Michigan (4704355036) and active in the NPI registry since May 2006. She maintains a secondary practice location in Elkhart and is a graduate of Other (2001).

NPPES Registry Identity

NPI1255382164

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMARLENE FORDCredential: CRNA

Location Address31 N SAINT JOSEPH AVENiles, MI 49120

Mailing Address31 N Saint Joseph AveNiles, MI 49120-2207 · (269) 687-1879 · Fax (269) 683-0104

Phone(269) 687-1879

Fax(269) 683-0104

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateMay 15, 2006

Last NPPES UpdateDecember 3, 2019

✔ NPI 1255382164 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

Licenses✔ Licensed in MI · 4704355036✔ Licensed in IN · 28137180

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.

31 N SAINT JOSEPH AVE, Niles, MI 49120

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Secondary Practice Location 1

Location 1500 N Nappanee St, Suite 11BElkhart, IN 46514-1503 · Phone (574) 522-9922

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marlene Ford Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395766786

PECOS Enrollment IDI20051213000601

Medicare Billing Reassignments

Medicare enrollment records show Marlene Ford reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lakeland Community Hospital Watervliet

2.3 mi

Rural Health

2002 S 11TH ST
Niles, MI 49120

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

NPI 1538592753 (269) 687-0200

Allied Physicians Surgery Center, LLC

8.6 mi

Anesthesiology

53990 CARMICHAEL DR
South Bend, IN 46635

Reassigned Medicare billing, Indiana enrollment
19 clinicians in this Medicare group

NPI 1669032942 (574) 243-9700

Great Lakes Anesthesia, P.C.

18 mi

Anesthesiology

700 E BEARDSLEY AVE STE 209
Elkhart, IN 46514

Reassigned Medicare billing, Indiana enrollment
Medicare enrollment name: Great Lakes Anesthesia PC
60 clinicians in this Medicare group

NPI 1720039977 (574) 522-9922

Lakeland Hospitals At Niles And St Joseph, Inc

21 mi

Anesthesiology

1234 NAPIER AVE
Saint Joseph, MI 49085

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

NPI 1598305641 (616) 486-6630

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 6

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 lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

51 services50 patients

Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810

Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.

36 services35 patients

Anesthesia for other procedure on forearm, wrist, or hand bones 01830

Anesthesia for procedures on forearm, wrist, or hand bones involves administering medications to block sensation in the specific area. It ensures you don't feel pain during the procedure. It can be local (numbing a small area) or regional (numbing a larger part of the body).

22 services22 patients

Anesthesia for procedure on eyelid 00103

Anesthesia for an eyelid procedure helps ensure comfort and painlessness during the operation. It's typically a local anesthetic, applied to numb your eyelid and surrounding area. You'll likely be awake but won't feel any discomfort. It's a safe, routine part of many eye procedures.

16 services16 patients

Anesthesia for other procedure on eye 00140

Anesthesia for an eye procedure involves administering medication to numb your eye and surrounding area, ensuring you feel no pain during the operation. It can be local (only the eye area) or general (whole body). It's safe and helps make the procedure comfortable.

16 services14 patients

Anesthesia for other procedure on lower leg, ankle, and foot bones 01480

Anesthesia for procedures on lower leg, ankle, and foot bones involves administering medication to block pain and sensation in these areas. This allows doctors to perform necessary treatments or surgeries without causing discomfort. The type of anesthesia used can vary based on the specific procedure.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 HOLMAN CRNA

Nurse Anesthetist, Certified Registered