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

Individual provider Certified Registered Nurse Anesthetist · NPI 1003446006

Joshua Booth, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Jackson, Michigan. Qualified in 2019, 7 years ago. Practices with Northstar Anesthesia of Michigan III PLLC, a 567-clinician group. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2020
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

205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 205-4800
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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 4704276659 (MI)

Record details

NPI number1003446006
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 19, 2020
Last updated in NPPESJanuary 19, 2020
Certification dateJanuary 19, 2020
Mailing address16206 Wetherby St, Beverly Hills, MI 48025-5559

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Northstar Anesthesia Of Michigan Iii Pllc — 567 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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