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

Individual provider Certified Registered Nurse Anesthetist · NPI 1013941921

Michele L Mack, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Dearborn, Michigan. Qualified in 1994, 32 years ago. Practices with Northstar Anesthesia of Michigan PLLC, a 190-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
32
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

18100 Oakwood Blvd Ste 100
Dearborn, MI 48124-4085
Phone: (313) 253-2000
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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 4704172231 (MI)

Record details

NPI number1013941921
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESJuly 8, 2007
Mailing address18100 Oakwood Blvd, Suite 100, Dearborn, MI 48124-4085

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Northstar Anesthesia Of Michigan Pllc — 190 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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