QINGYUN RUAN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1104847219

QINGYUN RUAN (CRNA) is a healthcare provider. based in Pontiac, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704210582 (MI). The NPI Number for QINGYUN RUAN (CRNA) is 1104847219

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
QINGYUN RUAN (CRNA)
NPI
1104847219
Phone
(248) 585-3023
Address
44405 Woodward Ave
Enumeration Date
22 July 2006
Last Update Date
14 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7349364000
Graduation Year
2000 (26 years ago)
PAC ID
3072527290
Group Practice PAC ID
3779496856
Professional Enrollment ID
I20060126000786
Address ID
MI481092700AN4270XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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

Provider Addresses for QINGYUN RUAN (CRNA)

  • 44405 Woodward Ave

    Pontiac, MI 483415023

    Phone: (248) 585-3023

    Type: Location

  • 5301 East Huron Blvd

    Anesthesia Department

    Ypsilanti, MI 48197

    Phone: (734) 712-3456

    Type: Location

  • 6245 Inkster Rd

    Garden City, MI 481354001

    Phone: (734) 421-3300

    Type: Location

  • South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States

    700 KMS PLACE

    ANN ARBOR, MI 48108

    Phone: (734) 936-2047

    Type: Mailing

  • Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States

    1H247 UNIVERSITY HOSPITAL

    ANN ARBOR, MI 48109

    Phone: (734) 936-4280

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $99.

Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.

Last reported payment date: 2023-10-18 • Largest payer in this snapshot: Fisher & Paykel Healthcare Inc ($99).

Total Amount

$99

General + Research + Ownership

Payments

1

Total payment records

General Amount

$99

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-01-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20060126000786ICertified Registered Nurse Anesthetist (Crna)MITBD

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
00811Anesthesia for other procedure on large bowel using an endoscope1515$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 48341)

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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: 3779496856View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
Physical Medicine And RehabilitationMI
A N E S T H E S I O L O G YMI
Internal Medicine, Pediatric MedicineIL
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for QINGYUN RUAN (CRNA)?
QINGYUN RUAN (CRNA) — NPI 1104847219 — is the standard way to identify this listing.
Does the file indicate QINGYUN RUAN (CRNA) is practicing under active NPI?
Directory data currently reports QINGYUN RUAN (CRNA) as active.
What is QINGYUN RUAN (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for QINGYUN RUAN (CRNA) here. Clinical services aligned with this taxonomy classification.
Does QINGYUN RUAN (CRNA) list a practice location?
Patients near Pontiac, Michigan may find QINGYUN RUAN (CRNA) in results; validate coverage separately.
Why does QINGYUN RUAN (CRNA) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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