Madison Catherine Champnella
NPI 1093543613ActiveIndividual· Registered Nurse· Grosse Ile, MI
Registered Nurse with Northstar Anesthesia of Michigan III PLLC, practicing in Grosse Ile, Michigan. Enrolled in Medicare as practitioner - certified registered nurse anesthetist (crna). Lists Beaumont Hospital - Dearborn as a hospital affiliation.
Overview
| NPI | 1093543613 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jul 24, 2024 |
| Last updated in NPPES | Jul 24, 2024 |
| Certified by provider | Jul 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse Primary | 163W00000X | 4704330790 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (MI) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Northstar Anesthesia of Michigan III PLLCDearborn, MI · 561 clinicians
Hospital affiliation
- Beaumont Hospital - DearbornDearborn, MI
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