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

Joanna O'Dacre

Individual provider Registered Nurse · NPI 1700512829

Joanna O'Dacre is a Certified Registered Nurse Anesthetist (CRNA) in Waterford, Michigan. Qualified in 2022, 4 years ago. Practices with Henry Ford Health Genesys Hospital, a 86-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

4755 Forest Ave
Waterford, MI 48328-1119
Phone: (248) 202-1187
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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 4704297672 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704297672 (MI)

Record details

NPI number1700512829
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 29, 2022
Last updated in NPPESOctober 6, 2023
Certification dateOctober 6, 2023
Mailing address4755 Forest Ave, Waterford, MI 48328-1119

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Henry Ford Health Genesys Hospital — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Waterford