NICHOLAS CROFUT (CRNA) – Certified Registered Nurse Anesthetist, NPI 1588620454

NICHOLAS CROFUT (CRNA) is a healthcare provider. based in Grand ledge, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704236483 (MI). The NPI Number for NICHOLAS CROFUT (CRNA) is 1588620454

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS CROFUT (CRNA)
NPI
1588620454
Phone
Not provided
Address
806 GREENWICH DR
Enumeration Date
21 April 2006
Last Update Date
23 August 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5172533050
Graduation Year
2002 (24 years ago)
PAC ID
9931122108
Group Practice PAC ID
6709799166
Professional Enrollment ID
I20060113000411
Address ID
MI489121811LA1215XAVEX443
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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

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Provider Addresses for NICHOLAS CROFUT (CRNA)

  • 806 GREENWICH DR

    GRAND LEDGE, MI 488372412

    Phone:

    Type: Mailing

  • Telegraph Road, Bingham Farms, Southfield Township, Oakland County, Michigan, 48301, United States

    SUITE 220

    BINGHAM FARMS, MI 480254502

    Phone: (248) 258-5058

    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: 2006-01-13

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
I20060113000411ICertified 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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 48837)

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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: 6709799166View full group profile
NameSpecialtyState
Nurse PractitionerMI
-MI
Family PracticeMI
-MI
P A T H O L O G YIL
Nurse PractitionerMI
Vascular Surgery, General SurgeryMI
Nurse PractitionerMI
Internal MedicineMI
Family PracticeMI

Reviews

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Frequently asked questions

Can I cross-check NICHOLAS CROFUT (CRNA) using NPI 1588620454?
NPI 1588620454 belongs to NICHOLAS CROFUT (CRNA); compare other details if you need extra assurance.
Is there an active status for NICHOLAS CROFUT (CRNA)?
For scheduling context, NICHOLAS CROFUT (CRNA) is shown as active in the registry.
What clinical focus is listed for NICHOLAS CROFUT (CRNA)?
At a glance, NICHOLAS CROFUT (CRNA) is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is NICHOLAS CROFUT (CRNA) located near Grand Ledge?
NICHOLAS CROFUT (CRNA) currently maps to Grand Ledge, Michigan in this extract.
Does NICHOLAS CROFUT (CRNA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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