LAKESHORE ANESTHESIA STAFFING LLC
NPI 1255781019
Nurse Anesthetist, Certified Registered in Saint Joseph, MI

Q: What is Lakeshore Anesthesia Staffing LLC's NPI number?

The NPI number for Lakeshore Anesthesia Staffing LLC is 1255781019. It was assigned to this organization in the NPPES registry on June 13, 2016.

Q: What is Lakeshore Anesthesia Staffing LLC's specialty?

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

Active since June 13, 2016

2848 NILES RD, SAINT JOSEPH, MI 49085(269) 932-4388 Get Directions Write a Review

NPPES record last updated: June 13, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Lakeshore Anesthesia Staffing Llc NPPES

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

LAKESHORE ANESTHESIA STAFFING LLC (NPI 1255781019) is a healthcare organization registered as a nurse anesthetist, certified registered in Saint Joseph, Michigan and active in the NPI registry since June 2016. The organization lists Marcus A Gardiner, Sole Mbr, as its authorized official.

NPPES Registry Identity

NPI1255781019

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameLAKESHORE ANESTHESIA STAFFING LLC

Location Address2848 NILES RDSaint Joseph, MI 49085-3352

Mailing AddressPo Box 1296Warsaw, IN 46581-1296 · (574) 268-9640 · Fax (574) 268-0684

Phone(269) 932-4388

Organization SubpartNo

Authorized OfficialMarcus A GardinerSole Mbr · (231) 225-5216

Enumeration DateJune 13, 2016

✔ NPI 1255781019 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

License✔ Licensed in MI · E8460D

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.

2848 NILES RD, Saint Joseph, MI 49085

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Priority Health.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)

Lakeshore Anesthesia Staffing Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Lakeshore Anesthesia Staffing LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.