Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaclyn Anne Cibasek, RN

Individual provider Certified Registered Nurse Anesthetist · NPI 1821718941

Jaclyn Anne Cibasek, RN is a Certified Registered Nurse Anesthetist (CRNA) in Detroit, Michigan. Qualified in 2025, 1 year ago. Practices with Henry Ford Health System, a 2,540-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2022
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-2545
Fax: (313) 916-2018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704311590 (MI)

Record details

NPI number1821718941
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedAugust 30, 2022
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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