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PAULINA TACKETT CRNA
NPI 1780256719
Nurse Anesthetist, Certified Registered in Sterling Heights, MI

Active since July 09, 2021
39363 OWENDALE DR, STERLING HEIGHTS, MI 48310(586) 883-2905 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 20, 2023, Oct 25, 2023, Jul 9, 2021 (3 updates tracked since 2021).

About Paulina Tackett Crna NPPES

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

PAULINA TACKETT CRNA (NPI 1780256719) is an individual nurse anesthetist, certified registered in Sterling Heights, Michigan, licensed in Michigan (4704338150) and active in the NPI registry since July 2021. She is affiliated with Beaumont Hospital Royal Oak and is a graduate of Other (2023).

NPPES Registry Identity

NPI1780256719
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NamePAULINA TACKETTCredential: CRNA
Location Address39363 OWENDALE DRSterling Heights, MI 48310-2569
Mailing Address4640 Sidney StShelby Township, MI 48317-2955 · (586) 883-2905
Phone(586) 883-2905
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 9, 2021
Last NPPES UpdateNovember 20, 20233 updates tracked since enumeration
NPPES CertifiedNovember 20, 2023
✔ NPI 1780256719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MI · 4704338150
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704338150 (MI)
39363 OWENDALE DR, Sterling Heights, MI 48310
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Other Names 1

Former Name (1)Paulina Franzen

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paulina Tackett Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294199121
PECOS Enrollment IDI20230912000699

Medicare Billing Reassignments

3

Medicare enrollment records show Paulina Tackett reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Essential Anesthesia Services, Plc
4.5 mi
Nurse Anesthetist, Certified Registered
264 W MAPLE RD, SUITE 200
Troy, MI 48084
  • Reassigned Medicare billing, Michigan enrollment
  • 33 clinicians in this Medicare group
NPI 1932482098 (248) 244-9578
Long Lake Anesthesiology Consultants, Plc
4.9 mi
Anesthesiology
4550 INVESTMENT DR, SUITE 100
Troy, MI 48098
  • Reassigned Medicare billing, Michigan enrollment
  • 131 clinicians in this Medicare group
NPI 1194812651 (800) 581-9044
Northstar Anesthesia Of Michigan III PLLC
1,011 mi
Pain Medicine
6225 N STATE HIGHWAY 161 STE 200
Irving, TX 75038
  • Reassigned Medicare billing, Michigan enrollment
  • 905 clinicians in this Medicare group
NPI 1972126209 (214) 687-0001

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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

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 Paulina Tackett's NPI number?

The NPI number for Paulina Tackett is 1780256719. It was assigned to this individual provider in the NPPES registry on July 9, 2021. The provider is also known as Paulina Franzen.

Where is Paulina Tackett located?

Paulina Tackett practices at 39363 Owendale Dr, Sterling Heights, MI 48310. The listed phone number is (586) 883-2905.

What is Paulina Tackett's specialty?

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

Is Paulina Tackett enrolled in Medicare?

Yes. Paulina Tackett is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Paulina Tackett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paulina Tackett reassigns Medicare benefits to 3 organizations: Essential Anesthesia Services, Plc (Troy, MI), Long Lake Anesthesiology Consultants, Plc (Troy, MI) and Northstar Anesthesia Of Michigan III PLLC (Irving, TX). 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 Paulina Tackett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Paulina Tackett affiliated with any hospitals?

According to CMS data, Paulina Tackett is affiliated with Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Paulina Tackett was last updated on November 20, 2023. 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.