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

Individual provider Certified Registered Nurse Anesthetist · NPI 1376203802

Nicole Black, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Ypsilanti, Michigan. Qualified in 2021, 5 years ago. Practices with Sjmhs Anesthesia Services, a 101-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2021
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

5301 McAuley Dr
Ypsilanti, MI 48197-1051
Phone: (734) 712-3456
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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 139623 (MI)

Record details

NPI number1376203802
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 24, 2021
Last updated in NPPESDecember 24, 2021
Certification dateDecember 23, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Sjmhs Anesthesia Services — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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