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

Individual provider Certified Registered Nurse Anesthetist · NPI 1740241140

Tisha Prusak, CRNAMS is a Certified Registered Nurse Anesthetist (CRNA) in Ypsilanti, Michigan. Qualified in 2002, 24 years ago. Practices with Sjmhs Anesthesia Services, a 101-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
24
Licensed in
MI
In the registry since
2006
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Practice location Address checks out

5301 E Huron River Dr Dept OF Anesthesiology
Ypsilanti, MI 48197-1051
Phone: (734) 712-3840
Fax: (734) 712-5526
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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 4704207329 (MI)

Record details

NPI number1740241140
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNAMS
Sole proprietorNo
NPI enumeratedMarch 28, 2006
Last updated in NPPESApril 23, 2008

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Sjmhs Anesthesia Services — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ypsilanti