MRS. CASSANDRA ANN MAKSIMCZAK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1245552561

MRS. CASSANDRA ANN MAKSIMCZAK (CRNA) is a healthcare provider. based in Bingham farms, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704230732 (MI). The NPI Number for MRS. CASSANDRA ANN MAKSIMCZAK (CRNA) is 1245552561

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CASSANDRA ANN MAKSIMCZAK (CRNA)
NPI
1245552561
Phone
(248) 258-5058
Address
30200 TELEGRAPH RD
Enumeration Date
1 March 2010
Last Update Date
1 March 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4192914491
Graduation Year
2009 (17 years ago)
PAC ID
9133244973
Group Practice PAC ID
7012902265
Professional Enrollment ID
I20100916000430
Address ID
MI492218318AD5640XHWYX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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

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Provider Addresses for MRS. CASSANDRA ANN MAKSIMCZAK (CRNA)

  • Telegraph Road, Bingham Farms, Southfield Township, Oakland County, Michigan, 48034, United States

    SUITE 220

    BINGHAM FARMS, MI 480254502

    Phone: (248) 258-5058

    Fax: (248) 927-5058

    Type: Mailing

  • Hillsdale Community Health Center, 168, South Howell Street, Hillsdale, Hillsdale Township, Hillsdale County, Michigan, 49242, United States

    HILLSDALE, MI 492422040

    Phone: (517) 437-5380

    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: 2023-03-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100916000430ICertified Registered Nurse Anesthetist (Crna)MITBD
I20230301001247ICertified Registered Nurse Anesthetist (Crna)OHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48025)

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Provider's Procedures

MRS. CASSANDRA ANN MAKSIMCZAK (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETMI00142Anesthesia for lens surgery5552

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: 7012902265View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KY
Nurse PractitionerMI
Certified Registered Nurse Anesthetist (Crna)MI
Nurse PractitionerMI
Certified Registered Nurse Anesthetist (Crna)MI
-MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)WI
-MI
Internal MedicineMI

Reviews

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Frequently asked questions

What federal number belongs to MRS. CASSANDRA ANN MAKSIMCZAK (CRNA)?
The federal identifier for MRS. CASSANDRA ANN MAKSIMCZAK (CRNA) is NPI 1245552561.
Is MRS. CASSANDRA ANN MAKSIMCZAK (CRNA) active in the national directory?
MRS. CASSANDRA ANN MAKSIMCZAK (CRNA)'s public NPI profile is in an active state.
What field does MRS. CASSANDRA ANN MAKSIMCZAK (CRNA) work in?
You can think of MRS. CASSANDRA ANN MAKSIMCZAK (CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. CASSANDRA ANN MAKSIMCZAK (CRNA)?
The page summarizes Bingham Farms, Michigan for MRS. CASSANDRA ANN MAKSIMCZAK (CRNA); expand the address list for detail.
How can I contact MRS. CASSANDRA ANN MAKSIMCZAK (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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