NICHOLAS CROFUT CRNA
NPI 1588620454
Nurse Anesthetist, Certified Registered in Bingham Farms, MI
NPI Status: Active since April 21, 2006
Contact Information
30200 TELEGRAPH RD
SUITE 220
BINGHAM FARMS, MI
ZIP 48025
Phone: (248) 258-5058
- Individual
- Male
- Years of Experience 24
- Nurse Anesthetist, Certified Registered
- Accepts Insurance
- Accepts Medicare Approved Payment
- Medicare Quality Reporting
About NICHOLAS CROFUT
This page provides the complete NPI Profile along with additional information for Nicholas Crofut, a provider established in Bingham Farms, Michigan with a medical specialization in Nurse Anesthetist, Certified Registered and more than 24 years of experience. The healthcare provider is registered in the NPI registry with number 1588620454 assigned on April 2006. The practitioner's primary taxonomy code is 367500000X with license number 4704236483 (MI). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1588620454
- Provider Name
- NICHOLAS CROFUT CRNA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 30200 TELEGRAPH RD SUITE 220 BINGHAM FARMS, MI 48025
- Location Phone
- (248) 258-5058
- Mailing Address
- 806 GREENWICH DR GRAND LEDGE, MI 48837
- Medical School Name
- OTHER
- Graduation Year
- 2002
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-21-2006
- Last Update Date
- 08-23-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 4704236483
- License State
- MI
- Taxonomy Description
- (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 104822930 | MEDICAID (05) | MI | |
| P00293187 | OTHER (01) | MI | RAILROAD MEDICARE |
| N47230082 | MEDICARE UPIN (02) | MI | |
| N78650071 | MEDICARE ID-TYPE UNSPECIFIED (04) | MI | LOC 01 |
| P00293187 | MEDICARE PIN (08) | MI |
Medicare Participation & PECOS Enrollment Status
Nicholas Crofut is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 9931122108
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20060113000411
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
This service was performed 16 times for 16 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $33.57 for a new patient copayment and $18.09 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 48025 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $134.28
- Minimum New Patient Price $58.04
- Maximum New Patient Price $177.36
- Average New Patient Copayment $33.57
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.38
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $143.49
- Average Established Patient Copayment $18.09
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $35.87
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Use of QCDR data for quality improvement such as comparative analysis reports across patient populations | Yes | N/A |
| Participation in a QCDR, clinical data registries, or other registries run by other government agencies such as FDA, or private entities such as a hospital or medical or surgical society. Activity must include use of QCDR data for quality improvement (e.g., comparative analysis across specific patient populations for adverse outcomes after an outpatient surgical procedure and corrective steps to address adverse outcome). | ||
| Use of QCDR for feedback reports that incorporate population health | Yes | N/A |
| Use of a QCDR to generate regular feedback reports that summarize local practice patterns and treatment outcomes, including for vulnerable populations. | ||
| Use of QCDR to support clinical decision making | Yes | N/A |
| Participation in a QCDR, demonstrating performance of activities that promote implementation of shared clinical decision making capabilities. | ||
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Nicholas Crofut is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| EDWARD W SPARROW HOSPITAL | 1215 E MICHIGAN AVENUE LANSING, MI 48912 | (517) 364-1000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 8 | 8 | 6 | 2 | 0 | 4 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 16 | 8 | 12 | 2 | 0 | 4 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 6 + 8 + 1 + 2 + 2 + 0 + 4 + 1 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1588620454 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1659362531 | DR. PHILLIP FRIEDMAN MD Individual | Neurological Surgery | 30200 TELEGRAPH RD STE 179 BINGHAM FARMS, MI 48025 (248) 258-1919 |
| 1265412522 | JAMES SCARSELLA CRNA Individual | Nurse Anesthetist, Certified Registered | 30200 TELEGRAPH RD SUITE 220 BINGHAM FARMS, MI 48025 (248) 258-5058 |
| 1811952922 | GURJIT AJIMAL M.D. Individual | Anesthesiology | 30200 TELEGRAPH RD SUITE 220 BINGHAM FARMS, MI 48025 (248) 258-5058 |
| 1417913385 | THERESA CICHON LILLY CRNA Individual | Anesthesiology | 30200 TELEGRAPH RD SUITE 220 BINGHAM FARMS, MI 48025 (248) 258-5058 |
| 1306802202 | ANN DONOVANRIDGE CRNA Individual | Anesthesiology | 30200 TELEGRAPH RD SUITE 220 BINGHAM FARMS, MI 48025 (248) 258-5058 |
| 1386600807 | GREGG BRENT M.D. Individual | Anesthesiology | 30200 TELEGRAPH RD SUITE 220 BINGHAM FARMS, MI 48025 (248) 258-5058 |
| 1982660312 | TED BURKHART CRNA Individual | Anesthesiology | 30200 TELEGRAPH RD SUITE 220 BINGHAM FARMS, MI 48025 (248) 258-5058 |
| 1740246024 | ANNE DAVIS CRNA Individual | Anesthesiology | 30200 TELEGRAPH RD SUITE 220 BINGHAM FARMS, MI 48025 (248) 258-5058 |
| 1083670319 | JAMES BANDY D.O. Individual | Anesthesiology | 30200 TELEGRAPH RD SUITE 220 BINGHAM FARMS, MI 48025 (248) 258-5058 |
| 1558327841 | FOOK KUET M.D. Individual | Anesthesiology | 30200 TELEGRAPH RD SUITE 220 BINGHAM FARMS, MI 48025 (248) 258-5058 |
| 1467418657 | GAIL LAPOINTE CRNA Individual | Anesthesiology | 30200 TELEGRAPH RD SUITE 220 BINGHAM FARMS, MI 48025 (248) 258-5058 |
| 1730145145 | KIMBERLY BROWN CRNA Individual | Nurse Anesthetist, Certified Registered | 30200 TELEGRAPH RD SUITE 220 BINGHAM FARMS, MI 48025 (248) 258-5058 |
| 1245296722 | TERESA BYRD CRNA Individual | Anesthesiology | 30200 TELEGRAPH RD SUITE 220 BINGHAM FARMS, MI 48025 (248) 258-5058 |
| 1316903685 | JOHN D'ANNA CRNA Individual | Anesthesiology | 30200 TELEGRAPH RD SUITE 220 BINGHAM FARMS, MI 48025 (248) 258-5058 |
| 1932165172 | JEROME NEIMAN CRNA Individual | Nurse Anesthetist, Certified Registered | 30200 TELEGRAPH RD SUITE 220 BINGHAM FARMS, MI 48025 (248) 258-5058 |
| 1710944566 | ANDREA RISK CRNA Individual | Anesthesiology | 30200 TELEGRAPH RD SUITE 220 BINGHAM FARMS, MI 48025 (248) 258-5058 |
| 1780641761 | KIMBERLY HIMELHOCH CRNA Individual | Anesthesiology | 30200 TELEGRAPH RD SUITE 220 BINGHAM FARMS, MI 48025 (248) 258-5058 |
| 1851357818 | DANIEL HUYCKE D.O. Individual | Anesthesiology | 30200 TELEGRAPH RD SUITE 220 BINGHAM FARMS, MI 48025 (248) 258-5058 |
| 1194781153 | JEFFREY JOHNSON CRNA Individual | Anesthesiology | 30200 TELEGRAPH RD SUITE 220 BINGHAM FARMS, MI 48025 (248) 258-5058 |
| 1225094238 | KATHRYN MARTINO-PIERCE CRNA Individual | Anesthesiology | 30200 TELEGRAPH RD SUITE 220 BINGHAM FARMS, MI 48025 (248) 258-5058 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588620454, enumerated in the NPI registry as an "individual" on April 21, 2006
The provider is located at 30200 Telegraph Rd Suite 220 Bingham Farms, Mi 48025 and the phone number is (248) 258-5058
The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
The provider has more than 24 years of experience.
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Medicare beneficiaries should expect a typical cost of $134.28 with an average copayment of $33.57 for new patient appointments. Established patients should expect a typical charge of $72.38 and an average copayment of 18.09. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope.
The practitioner is affiliated to the following hospital(s): EDWARD W SPARROW HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on April 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.