| Nicole K Larocca, RN, CRNA | |
|
775 S Main St, Chelsea, MI 48118-1399 | |
| (734) 263-2400 | |
| Not Available |
| Full Name | Nicole K Larocca |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 775 S Main St, Chelsea, Michigan |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740613215 | NPI | - | NPPES |
| 422346200 | Medicaid | MD | |
| 075835800 | Medicaid | DC | |
| 1740613215 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024171480 (Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704297425 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Forest Health Medical Center | Ypsilanti, MI | Hospital |
| Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
| Garden City Hospital | Garden city, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Huron Gastroenterology Associates P.c. | 0840288221 | 75 |
| Anesthesia Associates Of Ann Arbor Pllc | 1355317223 | 202 |
| Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 522 |
| Entity Name | Botsford General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235179664 PECOS PAC ID: 2668385238 Enrollment ID: O20031113000500 |
| Entity Name | Huron Gastroenterology Associates P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144335639 PECOS PAC ID: 0840288221 Enrollment ID: O20040504001055 |
| Entity Name | Anesthesia Associates Of Ann Arbor Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669581997 PECOS PAC ID: 1355317223 Enrollment ID: O20040902000916 |
| Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole K Larocca, RN, CRNA 2006 Hogack Road, Suite 5a, Ann Arbor, MI 33487 Ph: (734) 786-2317 | Nicole K Larocca, RN, CRNA 775 S Main St, Chelsea, MI 48118-1399 Ph: (734) 263-2400 |
Michael James Taylor, DNAP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 775 S Main St, Chelsea, MI 48118 Phone: 734-593-6000 | |
Anne Apaza, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 775 S Main St, Chelsea, MI 48118 Phone: 734-475-6914 |