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

Mrs. Samantha Rose Petrovski

Individual provider Registered Nurse · NPI 1861978108

Mrs. Samantha Rose Petrovski is a Certified Registered Nurse Anesthetist (CRNA) in Detroit, Michigan. Qualified in 2018, 8 years ago. Practices with Michigan Interventional Pain Associates PLLC, a 15-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

6071 W Outer Dr
Detroit, MI 48235-2624
Phone: (313) 966-3300
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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 4704294114 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704294114 (MI)

Record details

NPI number1861978108
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 18, 2018
Last updated in NPPESDecember 19, 2023
Certification dateSeptember 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 2018 (8 years in practice)
Group practice Michigan Interventional Pain Associates Pllc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Detroit