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

Individual provider Certified Registered Nurse Anesthetist · NPI 1629032636

Kellie Martin, CRNA is registered under Certified Registered Nurse Anesthetist (CRNA) in Detroit, Michigan. Qualified in 1996, 30 years ago. Practices with Henry Ford Health Macomb Oakland Hospital, a 146-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
30
Licensed in
MI
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

22101 Moross
Detroit, MI 48226 Not confirmed with CMS for 19 years — call before visiting
Phone: (313) 343-4766
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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 4704173942 (MI)

Record details

NPI number1629032636
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 14, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Henry Ford Health Macomb Oakland Hospital — 146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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