HENRY FORD HEALTH PROVIDENCE HOSPITAL
NPI 1851339196
Nurse Anesthetist, Certified Registered in Southfield, MI

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

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

Active since June 02, 2006

16001 W 9 MILE RD, SOUTHFIELD, MI 48075(248) 849-3205 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, Mar 7, 2025 and 1 more (4 updates tracked since 2018).

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About Henry Ford Health Providence Hospital NPPES

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

HENRY FORD HEALTH PROVIDENCE HOSPITAL (NPI 1851339196), doing business as Henry Ford Providence Hospital, is a healthcare organization registered as a nurse anesthetist, certified registered in Southfield, Michigan and active in the NPI registry since June 2006. The organization maintains a secondary practice location in Novi and lists Kimberly Cebalt, Director, as its authorized official.

NPPES Registry Identity

NPI1851339196

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameHENRY FORD HEALTH PROVIDENCE HOSPITAL

Location Address16001 W 9 MILE RDSouthfield, MI 48075-4818

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

Phone(248) 849-3205

Organization SubpartNo

Authorized OfficialKimberly CebaltDirector · (313) 874-6764

Enumeration DateJune 2, 2006

Last NPPES UpdateJuly 16, 20264 updates tracked since enumeration

NPPES CertifiedJuly 16, 2026

✔ NPI 1851339196 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.

16001 W 9 MILE RD, Southfield, MI 48075

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Other Names 1

Doing Business AsHenry Ford Providence Hospital

Secondary Practice Location 1

Location 147601 Grand River AveNovi, MI 48374-1233 · Phone (248) 465-4249

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 Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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)

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

Clinicians Billing Medicare Through This Organization

121

Medicare enrollment records show 121 clinicians reassign Medicare billing to Henry Ford Health Providence Hospital, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.