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

Mr. Justin Eric Ciecko, CRNA

Individual provider Registered Nurse · NPI 1891065090

Mr. Justin Eric Ciecko, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Detroit, Michigan. Qualified in 2011, 15 years ago. Practices with Northstar Anesthesia of Michigan PLLC, a 190-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2012
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

3990 John R St
Detroit, MI 48201-2018
Phone: (313) 745-7600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704259917 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704259917 (MI)

Record details

NPI number1891065090
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 4, 2012
Last updated in NPPESJune 7, 2023
Certification dateJune 7, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Northstar Anesthesia Of Michigan Pllc — 190 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Detroit