PAUL A MAILLOUX CRNA
NPI 1720172414
Nurse Anesthetist, Certified Registered in Mount Clemens, MI

Active since October 03, 2006Accepts Medicare Assignment
1000 HARRINGTON BLVD, MOUNT CLEMENS, MI 48043(586) 493-8747(586) 493-8741 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Paul A Mailloux Crna NPPES

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

PAUL A MAILLOUX CRNA (NPI 1720172414) is an individual nurse anesthetist, certified registered in Mount Clemens, Michigan, licensed in Michigan (4704197640) and active in the NPI registry since October 2006. He is affiliated with Southeast Michigan Surgical Hospital Llc and is a graduate of Other (2005).

NPPES Registry Identity

NPI1720172414
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NamePAUL A MAILLOUXCredential: CRNA
Location Address1000 HARRINGTON BLVDMount Clemens, MI 48043
Mailing Address1000 Harrington BlvdMount Clemens, MI 48043 · (586) 493-8747 · Fax (586) 493-8741
Fax(586) 493-8741
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720172414 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 · 4704197640
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.
1000 HARRINGTON BLVD, Mount Clemens, MI 48043

Other Identifiers 1

Medicaid4862640MI

Accepted Insurance

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

Paul A Mailloux 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 ID2264443266
PECOS Enrollment IDI20060505000016

Medicare Billing Reassignments

8

Medicare enrollment records show Paul Mailloux reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
1000 HARRINGTON ST
Mount Clemens, MI 48043
  • Reassigned Medicare billing, Michigan enrollment
  • 112 clinicians in this Medicare group
Ambulatory Surgical
48801 ROMEO PLANK RD, SUITE 101
Macomb, MI 48044
  • Reassigned Medicare billing, Michigan enrollment
  • 87 clinicians in this Medicare group
Anesthesiology
4550 INVESTMENT DR, SUITE 100
Troy, MI 48098
  • Reassigned Medicare billing, Michigan enrollment
  • 131 clinicians in this Medicare group
Specialist
4550 INVESTMENT DR, SUITE 100
Troy, MI 48098
  • Reassigned Medicare billing, Michigan enrollment
  • 176 clinicians in this Medicare group
Anesthesiology
4600 INVESTMENT DR, SUITE 270
Troy, MI 48098
  • Reassigned Medicare billing, Michigan enrollment
  • 87 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
4800 S SAGINAW ST
Flint, MI 48507
  • Reassigned Medicare billing, Michigan enrollment
  • 75 clinicians in this Medicare group
Specialist
4800 S SAGINAW ST, STE 1805
Flint, MI 48507
  • Reassigned Medicare billing, Michigan enrollment
  • 246 clinicians in this Medicare group
Anesthesiology
6225 N STATE HIGHWAY 161 STE 200
Irving, TX 75038
  • Reassigned Medicare billing, Michigan enrollment
  • 283 clinicians in this Medicare group

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 injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance 01938
This procedure involves using anesthesia to numb your lower back for certain procedures like injections, drainage, or aspiration on your spine or spinal cord. Imaging guidance is used to accurately locate the area to be treated, ensuring precision and safety.
24 services23 patients

Hospital Affiliations CMS Care Compare

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

Southeast Michigan Surgical Hospital LLC

Acute Care Hospitals · Warren, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230264
Location21230 Dequindre RoadWarren, MI 48091 · Macomb County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48043 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Emergency Medicine
1000 HARRINGTON BLVD
MT CLEMENS, MI 48043
Emergency Medicine
1000 HARRINGTON BLVD, MOUNT CLEMENS REGIONAL MEDICAL CENTER
MT CLEMENS, MI 48043
Nurse Anesthetist, Certified Registered
1000 HARRINGTON BLVD
MOUNT CLEMENS, MI 48043
Pathology (Anatomic Pathology & Clinical Pathology)
1000 HARRINGTON BLVD
MOUNT CLEMENS, MI 48043
Nurse Anesthetist, Certified Registered
1000 HARRINGTON BLVD
MT CLEMENS, MI 48043
Emergency Medicine
1000 HARRINGTON BLVD
MT CLEMENS, MI 48043
Emergency Medicine
1000 HARRINGTON BLVD
MT. CLEMENS, MI 48043
Pathology (Anatomic Pathology & Clinical Pathology)
1000 HARRINGTON BLVD
MT CLEMENS, MI 48043

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 Paul Mailloux's NPI number?

The NPI number for Paul Mailloux is 1720172414. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Paul Mailloux located?

Paul Mailloux practices at 1000 Harrington Blvd, Mount Clemens, MI 48043. The listed phone number is (586) 493-8747.

What is Paul Mailloux's specialty?

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

Is Paul Mailloux enrolled in Medicare?

Yes. Paul Mailloux is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Paul Mailloux's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Mailloux reassigns Medicare benefits to 8 organizations: Glps Staffing Solutions LLC (Mount Clemens, MI), Macomb Endoscopy Center Plc (Macomb, MI), Long Lake Anesthesiology Consultants, Plc (Troy, MI), Superior Anesthetists Associates, Inc. (Troy, MI), Surgical Centers Of Michigan, LLC (Troy, MI) and 3 more organizations, listed in the Medicare section above. 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 Paul Mailloux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Mailloux accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Paul Mailloux 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 Paul Mailloux affiliated with any hospitals?

According to CMS data, Paul Mailloux is affiliated with Southeast Michigan Surgical Hospital LLC.

When was this NPI record last updated?

The NPPES record for Paul Mailloux was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.