MARY LYNN MEISEL (CRNA) – Certified Registered Nurse Anesthetist, NPI 1003911710

MARY LYNN MEISEL (CRNA) is a healthcare provider. based in Southfield, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704189465 (MI). The NPI Number for MARY LYNN MEISEL (CRNA) is 1003911710

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
MARY LYNN MEISEL (CRNA)
NPI
1003911710
Phone
(248) 849-5806
Address
16001 W 9 MILE RD
Enumeration Date
14 September 2006
Last Update Date
23 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2609254600
Graduation Year
1992 (34 years ago)
PAC ID
6305823774
Group Practice PAC ID
2264412444
Professional Enrollment ID
I20170710002056
Address ID
IN467062538AU1316XSTXX438
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

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Provider Addresses for MARY LYNN MEISEL (CRNA)

  • Ascension Providence Hospital, Southfield Campus, 16001, West 9 Mile Road, Southfield, Oakland County, Michigan, 48075, United States

    SOUTHFIELD, MI 480754818

    Phone: (248) 849-5806

    Fax: (248) 849-5489

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-04-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040702000630ICertified Registered Nurse Anesthetist (Crna)MITBD
I20170710002056ICertified Registered Nurse Anesthetist (Crna)INTBD
I20220401001336ICertified Registered Nurse Anesthetist (Crna)CATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope7569$0
00811Anesthesia for other procedure on large bowel using an endoscope5959$0
00537Anesthesia for procedure to assess heart electrical activity2525$0
00812Anesthesia for exam of colon using an endoscope1717$0
00813Anesthesia for procedure on small and large bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 48075)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264412444View full group profile
NameSpecialtyState
-IN
A N E S T H E S I O L O G YIN
-OH
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)IN
-IN
-OH
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)IN

Reviews

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Frequently asked questions

Is there an official ID for MARY LYNN MEISEL (CRNA) in U.S. healthcare records?
The official identifier for MARY LYNN MEISEL (CRNA) is NPI 1003911710.
Is there an active status for MARY LYNN MEISEL (CRNA)?
For scheduling context, MARY LYNN MEISEL (CRNA) is shown as active in the registry.
What area of care is associated with MARY LYNN MEISEL (CRNA)?
MARY LYNN MEISEL (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is MARY LYNN MEISEL (CRNA) located near Southfield?
MARY LYNN MEISEL (CRNA) currently maps to Southfield, Michigan in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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