LAKESHORE SURGERY ANESTHESIA BILLING
NPI 1417706342
Nurse Anesthetist, Certified Registered in Fort Gratiot, MI

Active since May 14, 2024
4190 24TH AVE, FORT GRATIOT, MI 48059(810) 216-4300 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lakeshore Surgery Anesthesia Billing NPPES

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

LAKESHORE SURGERY ANESTHESIA BILLING (NPI 1417706342) is a healthcare organization registered as a nurse anesthetist, certified registered in Fort Gratiot, Michigan and active in the NPI registry since May 2024. The organization lists Cherie Whiting, Administrator, as its authorized official.

NPPES Registry Identity

NPI1417706342
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameLAKESHORE SURGERY ANESTHESIA BILLING
Location Address4190 24TH AVEFort Gratiot, MI 48059-3882
Mailing Address4190 24th AveFort Gratiot, MI 48059-3882 · (810) 216-4300
Organization SubpartNo
Authorized OfficialCherie WhitingAdministrator · (810) 216-4401
Enumeration DateMay 14, 2024
NPPES CertifiedMay 14, 2024
✔ NPI 1417706342 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.
4190 24TH AVE, Fort Gratiot, MI 48059

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

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 Surgery Anesthesia Billing is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Lakeshore Surgery Anesthesia Billing, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (12)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1134434962
1221 PINE GROVE AVE
Port Huron, MI 48060
(810) 987-5000
✔ Accepts Medicare3.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1023536190
1221 PINE GROVE AVE
Port Huron, MI 48060
(810) 987-5000
✔ Accepts Medicare3.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1790234011
1221 PINE GROVE AVE
Port Huron, MI 48060
(810) 987-5000
✔ Accepts Medicare3.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1760421069
1221 PINE GROVE AVE
Port Huron, MI 48060
(810) 987-5000
✔ Accepts Medicare3.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1497856389
2601 ELECTRIC AVE
Port Huron, MI 48060
(810) 985-1500
✔ Accepts Medicare5.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1790886513
2601 ELECTRIC AVE
Port Huron, MI 48060
(810) 987-1072
✔ Accepts Medicare5.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1316257025
3990 JOHN R ST
Detroit, MI 48201
(313) 745-7600
✔ PECOS✔ Accepts Medicare49 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1588643035
790 KENSINGTON LN
Bloomfield Hills, MI 48304
(734) 241-3891
✔ Accepts Medicare50 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1649337650
16001 W 9 MILE RD
Southfield, MI 48075
(248) 849-5806
✔ Accepts Medicare55 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1649888959
18101 OAKWOOD BLVD
Dearborn, MI 48124
(313) 593-7000
64 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1588109177
1500 E MEDICAL CENTER DR
Ann Arbor, MI 48109
(734) 936-4000
✔ Accepts Medicare83 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1407821598
900 PEELER ST
Kalamazoo, MI 49008
(269) 345-8618
✔ Accepts Medicare168 mi

Source: 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 Lakeshore Surgery Anesthesia Billing's NPI number?

The NPI number for Lakeshore Surgery Anesthesia Billing is 1417706342. It was assigned to this organization in the NPPES registry on May 14, 2024.

Where is Lakeshore Surgery Anesthesia Billing located?

Lakeshore Surgery Anesthesia Billing is located at 4190 24th Ave, Fort Gratiot, MI 48059. The listed phone number is (810) 216-4300.

What is Lakeshore Surgery Anesthesia Billing's specialty?

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

Is Lakeshore Surgery Anesthesia Billing enrolled in Medicare?

Yes. Lakeshore Surgery Anesthesia Billing is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeshore Surgery Anesthesia Billing?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Lakeshore Surgery Anesthesia Billing. 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, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lakeshore Surgery Anesthesia Billing accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Lakeshore Surgery Anesthesia Billing 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 Lakeshore Surgery Anesthesia Billing was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.