MIKELLE JENEE ADAMCZYK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1053580936
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI
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Provider Addresses for MIKELLE JENEE ADAMCZYK (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
Type: Mailing
3181 SW SAM JACKSON PARK RD
MAIL CODE SJH-2
PORTLAND, OR 97239
Phone: (503) 494-7246
Fax: (503) 494-8368
Type: Mailing
16001 W 9 Mile Rd
Southfield, MI 480754818
Phone: (248) 849-5806
Fax: (248) 849-5489
Type: Location
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: 2025-12-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080507000355 | I | Certified Registered Nurse Anesthetist (Crna) | MI | TBD |
| I20191021003217 | I | Certified Registered Nurse Anesthetist (Crna) | OR | TBD |
| I20250716002585 | I | Certified Registered Nurse Anesthetist (Crna) | ID | TBD |
| I20251223000999 | I | Certified Registered Nurse Anesthetist (Crna) | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 22 | 22 | $0 |
Insurance plans in this area (ZIP 48075)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | FL | |
| - | OR | |
| - | OR | |
| Certified Registered Nurse Anesthetist (Crna) | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| Certified Registered Nurse Anesthetist (Crna) | HI | |
| A N E S T H E S I O L O G Y | MN |
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