HENRY FORD HEALTH MACOMB OAKLAND HOSPITAL
NPI 1396789434
Nurse Anesthetist, Certified Registered in Warren, MI

Q: What is Henry Ford Health Macomb Oakland Hospital's specialty?

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

Active since June 16, 2006

11800 E 12 MILE RD, WARREN, MI 48093(586) 573-5260(586) 573-5364 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 16, 2026, Mar 12, 2026, Dec 4, 2018 (3 updates tracked since 2018).

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About Henry Ford Health Macomb Oakland Hospital NPPES

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

HENRY FORD HEALTH MACOMB OAKLAND HOSPITAL (NPI 1396789434), doing business as St. John Macomb Hospital Crnas, is a healthcare organization registered as a nurse anesthetist, certified registered in Warren, Michigan and active in the NPI registry since June 2006. The organization lists Kimberly Cebalt, Director, as its authorized official.

NPPES Registry Identity

NPI1396789434

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameHENRY FORD HEALTH MACOMB OAKLAND HOSPITAL

Location Address11800 E 12 MILE RDWarren, MI 48093-3472

Mailing AddressPo Box 670884Detroit, MI 48267-0884 · (800) 999-5829 · Fax (248) 641-4840

Phone(586) 573-5260

Fax(586) 573-5364

Organization SubpartNo

Authorized OfficialKimberly CebaltDirector · (313) 874-6764

Enumeration DateJune 16, 2006

Last NPPES UpdateJuly 16, 20263 updates tracked since enumeration

NPPES CertifiedJuly 16, 2026

✔ NPI 1396789434 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

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.

11800 E 12 MILE RD, Warren, MI 48093

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Other Names 1

Doing Business AsSt. John Macomb Hospital Crnas

Other Identifiers 4

Other430E064630MI · Bcbs

OtherAN500006MI · Mcare

Other7853578MI · Aetna

Other135863102MI · Usdol

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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

Henry Ford Health Macomb Oakland Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

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.

StateEnrollment IDDue date

StateMichiganEnrollment IDO20031105000692Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 78 clinicians reassign Medicare billing to Henry Ford Health Macomb Oakland Hospital, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 35 within 10 miles. Listed here are the 20 practicing nearest to this location.