CIVITA L DANGELA-WICKS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1740244177
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
Provider Addresses for CIVITA L DANGELA-WICKS (CRNA)
36650 Five Mile Rd # 100101
Livonia, MI 481541951
Phone: (734) 434-6262
Type: Location
11012 E 13 Mile Rd Ste 112A
Warren, MI 480932546
Phone: (586) 751-9800
Type: Location
33080 Utica Rd
Fraser, MI 480262038
Phone: (586) 218-5890
Fax: (586) 218-5894
Type: Location
22401 Foster Winter Dr
Southfield, MI 480753724
Phone: (248) 423-5198
Type: Location
43475 Dalcoma Dr Ste 100
Clinton Twp, MI 480383593
Phone: (586) 263-5043
Type: Location
248, Argyle Street, Birmingham Highlands, Bloomfield, Birmingham, Oakland County, Michigan, 48009, United States
BIRMINGHAM, MI 480091529
Phone: (248) 723-1738
Type: Mailing
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: 2004-06-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040617000333 | I | Certified Registered Nurse Anesthetist (Crna) | MI | 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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 273 | 263 | $0 |
| 01992 | Anesthesia for nerve block and injection procedure, prone position | 46 | 40 | $0 |
| 00140 | Anesthesia for other procedure on eye | 13 | 13 | $0 |
| 00145 | Anesthesia for retinal surgery | 11 | 11 | $0 |
Insurance plans in this area (ZIP 48154)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| - | MI | |
| - | MI | |
| Anesthesiology, Critical Care (Intensivists) | MI | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| A N E S T H E S I O L O G Y | MI |
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