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

Tara Crisanti, BSN, RN, SRNA

Individual provider Registered Nurse · NPI 1821789975

Tara Crisanti, BSN, RN, SRNA is a Certified Registered Nurse Anesthetist (CRNA) in Detroit, Michigan. Qualified in 2020, 6 years ago. Practices with Northstar Anesthesia of Michigan III PLLC, a 567-clinician group. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2023
Specialties on file
2
What do these letters mean?
BSN — Bachelor of Science in Nursing
A four-year nursing degree.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

259 Mack Ave
Detroit, MI 48201-2427
Phone: (248) 880-8477
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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 4704322680 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704322680 (MI)

Record details

NPI number1821789975
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSN , RN , SRNA
Sole proprietorYes
NPI enumeratedMay 18, 2023
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Northstar Anesthesia Of Michigan Iii Pllc — 567 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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