LISA ANN JURICH CRNA
NPI 1720186208
Nurse Anesthetist, Certified Registered in Livonia, MI

Active since September 20, 2006Accepts Medicare Assignment
36475 FIVE MILE RD, LIVONIA, MI 48154(734) 655-2031 Get Directions Write a Review

NPPES record last updated: May 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisa Ann Jurich Crna NPPES

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

LISA ANN JURICH CRNA (NPI 1720186208) is an individual nurse anesthetist, certified registered in Livonia, Michigan, licensed in Michigan (4704177116) and active in the NPI registry since September 2006. She is affiliated with Trinity Health Ann Arbor Hospital, maintains 4 additional practice locations, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1720186208
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameLISA ANN JURICHCredential: CRNA
Location Address36475 FIVE MILE RDLivonia, MI 48154-1971
Mailing AddressPo Box 67000, Dept 203401Detroit, MI 48267-2034 · (952) 442-9770
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMay 29, 2020
NPPES CertifiedMay 29, 2020
✔ NPI 1720186208 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 · 4704177116
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.
36475 FIVE MILE RD, Livonia, MI 48154

Secondary Practice Locations 4

Location 15301 E Huron River DrYpsilanti, MI 48197-1051 · Phone (734) 712-3456
Location 2135 S Prospect StYpsilanti, MI 48198-7914 · Phone (734) 547-4711
Location 35300 Elliott DrYpsilanti, MI 48197-8632 · Phone (734) 434-6262
Location 43990 John R StDetroit, MI 48201-2018 · Phone (952) 442-9770

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

Lisa Ann Jurich 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 ID42305013
PECOS Enrollment IDI20071005000253

Medicare Billing Reassignments

4

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

Nurse Anesthetist, Certified Registered
36475 5 MILE RD
Livonia, MI 48154
  • Reassigned Medicare billing, Michigan enrollment
  • 97 clinicians in this Medicare group
Gastroenterology
5300 ELLIOTT DR
Ypsilanti, MI 48197
  • Reassigned Medicare billing, Michigan enrollment
  • 123 clinicians in this Medicare group
Ambulatory Surgical
5300 ELLIOTT DR
Ypsilanti, MI 48197
  • Reassigned Medicare billing, Michigan enrollment
  • 35 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
5301 E HURON RIVER DR
Ypsilanti, MI 48197
  • Reassigned Medicare billing, Michigan enrollment
  • 151 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 other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230156
Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48154 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.

Physician Assistant
36475 FIVE MILE RD
LIVONIA, MI 48154
Occupational Therapist
36475 FIVE MILE RD
LIVONIA, MI 48154
Health Educator
36475 FIVE MILE RD
LIVONIA, MI 48154
Pharmacist
36475 FIVE MILE RD
LIVONIA, MI 48154
Nurse Anesthetist, Certified Registered
36475 FIVE MILE RD
LIVONIA, MI 48154
Speech-Language Pathologist
36475 FIVE MILE RD
LIVONIA, MI 48154
Student in an Organized Health Care Education/Training Program
36475 FIVE MILE RD
LIVONIA, MI 48154
Student in an Organized Health Care Education/Training Program
36475 FIVE MILE RD
LIVONIA, MI 48154

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 Lisa Jurich's NPI number?

The NPI number for Lisa Jurich is 1720186208. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Lisa Jurich located?

Lisa Jurich practices at 36475 Five Mile Rd, Livonia, MI 48154. The listed phone number is (734) 655-2031.

What is Lisa Jurich's specialty?

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

Is Lisa Jurich enrolled in Medicare?

Yes. Lisa Jurich 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 Lisa Jurich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Jurich reassigns Medicare benefits to 4 organizations: St Mary Mercy Hospital Crna (Livonia, MI), Huron Gastroenterology Associates PC (Ypsilanti, MI), Center For Digestive Care LLC (Ypsilanti, MI) and Sjmhs Anesthesia Services (Ypsilanti, MI). 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 Lisa Jurich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lisa Jurich affiliated with any hospitals?

According to CMS data, Lisa Jurich is affiliated with Trinity Health Ann Arbor Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Jurich was last updated on May 29, 2020. 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.