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

Individual provider Certified Registered Nurse Anesthetist · NPI 1427026889

Kimberly Lodge, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Royal Oak, Michigan. Qualified in 1993, 33 years ago. Practices with Eastside Group LLC, a 35-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
33
Licensed in
MI
In the registry since
2006
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

3601 W 13 Mile Rd 400 Fsc - Pcs
Royal Oak, MI 48073-6769
Phone: (248) 423-3144
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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 4704164364 (MI)

Record details

NPI number1427026889
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 10, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Eastside Group Llc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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