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

John Pemberton, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1093406514

John Pemberton, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in West Bloomfield, Michigan. Qualified in 2023, 3 years ago. Practices with Botsford General Hospital, a 46-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2023
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone: (586) 286-0050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 23491 Norwood St, Oak Park, MI 48237-2203 — (248) 495-9694

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704327563 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704327563 (MI)

Record details

NPI number1093406514
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedMay 16, 2023
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing address1 Ford Pl Ste 3a, Detroit, MI 48202-3450

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Botsford General Hospital — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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