✓ Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered (367500000X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

KARI NICOLE DIEDERICH, CRNA (NPI #1548368657)

Nurse Anesthetist, Certified Registered • MIDLAND, MI • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1548368657
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
367500000X (CMS 43)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered
Box 32 Service Location & ZIP+4
4000 WELLNESS DR, MIDLAND, MI, 48670-0001
✓ 9-Digit EDI 837 ZIP+4 (48670-0001)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1548368657 (KARI NICOLE DIEDERICH, CRNA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1548368657 (NPI-1 Individual Practitioner)
Provider / Legal NameKARI NICOLE DIEDERICH, CRNA
Plain-English SpecialtyLicensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered
NUCC Code: 367500000X (Nurse Anesthetist, Certified Registered)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address4000 WELLNESS DR, MIDLAND, MI, 48670-0001
Practice Telephone / FaxTel: (989) 839-3000
Administrative Mailing Address913 S SAGINAW RD STE 109, MIDLAND, MI, 48640-4602
Enumeration & Last SyncEnumerated: 2006-09-20 | CMS Record Updated: 2026-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4000 WELLNESS DR, MIDLAND, MI, 48670-0001

🗺️ Open in Google Maps 🏥 More Providers in MIDLAND

Plain-English Taxonomy & CMS Crosswalk (367500000X)

What Does Taxonomy Code 367500000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 367500000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 43 (Certified Registered Nurse Anesthetist (CRNA))
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Anesthetist, Certified Registered for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KARI NICOLE DIEDERICH, CRNA)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
367500000X — Nurse Anesthetist, Certified Registered
Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered
State: MI | License: 4704215629 | Primary: Yes (Primary)
367500000X — Nurse Anesthetist, Certified Registered
Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered
State: FL | License: APRN11042880 | Primary: Secondary
363LP0808X — Nurse Practitioner, Psych/Mental Health
Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health
State: MI | License: 4704215629 | Primary: Secondary
363LP0808X — Nurse Practitioner, Psych/Mental Health
Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health
State: FL | License: APRN11042880 | Primary: Secondary
Medical Billing, RCM & Hospital Credentialing Teams:
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