Black River Anesthesia Staffing LLC
NPI 1245850957 · Certified Registered Nurse Anesthetist · South Haven, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Black River Anesthesia Staffing LLC is a Certified Registered Nurse Anesthetist organization in South Haven, MI (NPI 1245850957).
Provider details
- NPI number
- 1245850957
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Cheryl Wilkinson, Office Manager(734) 241-3891
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-04-22
- Last updated
- 2020-07-09
- Certified
- 2020-07-09
Frequently asked questions
- What is Black River Anesthesia Staffing LLC's NPI number?
- Black River Anesthesia Staffing LLC's National Provider Identifier (NPI) is 1245850957, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black River Anesthesia Staffing LLC?
- Black River Anesthesia Staffing LLC is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Black River Anesthesia Staffing LLC located?
- Black River Anesthesia Staffing LLC's practice location on file with NPPES is 7245 Baseline Rd, South Haven, MI 49090-9176.
- What is Black River Anesthesia Staffing LLC's phone number?
- The practice phone number listed in the NPPES registry for Black River Anesthesia Staffing LLC is (734) 241-3891.
- Does Black River Anesthesia Staffing LLC accept Medicare?
- Black River Anesthesia Staffing LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Black River Anesthesia Staffing LLC?
- The authorized official listed on Black River Anesthesia Staffing LLC's NPPES record is Cheryl Wilkinson, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black River Anesthesia Staffing LLC's NPI active?
- Yes — Black River Anesthesia Staffing LLC's NPI (1245850957) is active in the NPPES registry as of the last update on 2020-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.