MR. JUSTIN ERIC CIECKO CRNA
NPI 1891065090
Nurse Anesthetist, Certified Registered in Detroit, MI

Active since January 04, 2012Accepts Medicare Assignment
100/100
CMS Quality Rating
3990 JOHN R ST, DETROIT, MI 48201(313) 745-7600 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Justin Eric Ciecko Crna NPPES

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

MR. JUSTIN ERIC CIECKO CRNA (NPI 1891065090) is an individual nurse anesthetist, certified registered in Detroit, Michigan, licensed in Michigan (4704259917) and active in the NPI registry since January 2012. He is affiliated with Harper University Hospital and is a graduate of Other (2011).

NPPES Registry Identity

NPI1891065090
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. JUSTIN ERIC CIECKOCredential: CRNA
Location Address3990 JOHN R STDetroit, MI 48201-2018
Mailing Address53866 Oakview DrShelby Township, MI 48315-1925 · (586) 944-8020
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 4, 2012
Last NPPES UpdateJune 7, 2023
NPPES CertifiedJune 7, 2023
✔ NPI 1891065090 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 · 4704259917
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 4704259917 (MI)
3990 JOHN R ST, Detroit, MI 48201

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

Mr. Justin Eric Ciecko 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 ID6507026101
PECOS Enrollment IDI20120319000552

Medicare Billing Reassignments

2

Medicare enrollment records show Justin Ciecko reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ambulatory Surgical
2393 SCHUST RD
Saginaw, MI 48603
  • Reassigned Medicare billing, Michigan enrollment
  • 17 clinicians in this Medicare group
Anesthesiology
6225 N STATE HIGHWAY 161 STE 200
Irving, TX 75038
  • Reassigned Medicare billing, Michigan enrollment
  • 369 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.

Hospital Affiliations CMS Care Compare 2

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

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Karmanos Cancer Center

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number230297
Location4100 John RDetroit, MI 48201 · Wayne County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.26
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Anesthesiology
3990 JOHN R ST
DETROIT, MI 48201
Occupational Therapist
3990 JOHN R ST
DETROIT, MI 48201
Anesthesiology
3990 JOHN R ST
DETROIT, MI 48201
Emergency Medicine
3990 JOHN R ST
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201

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 Justin Ciecko's NPI number?

The NPI number for Justin Ciecko is 1891065090. It was assigned to this individual provider in the NPPES registry on January 4, 2012.

Where is Justin Ciecko located?

Justin Ciecko practices at 3990 John R St, Detroit, MI 48201. The listed phone number is (313) 745-7600.

What is Justin Ciecko's specialty?

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

Is Justin Ciecko enrolled in Medicare?

Yes. Justin Ciecko 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 Justin Ciecko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Ciecko reassigns Medicare benefits to 2 organizations: Great Lakes Eye Surgery Center LLC (Saginaw, MI) and Northstar Anesthesia Of Michigan 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 Justin Ciecko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Ciecko accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Justin Ciecko 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 Justin Ciecko affiliated with any hospitals?

According to CMS data, Justin Ciecko is affiliated with Harper University Hospital and Karmanos Cancer Center.

When was this NPI record last updated?

The NPPES record for Justin Ciecko was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.