Active NPIIndividual provider

Alyssa R Roegner, CRNA

Nurse Anesthetist, Certified Registered in Detroit, Michigan

NPI Number1194112482
Practice location
2799 W Grand Blvd, Detroit, MI 48202-2689
Fax
—
Last updated
September 23, 2025

Alyssa R Roegner is a Nurse Anesthetist, Certified Registered based in Detroit, MI. Alyssa R Roegner practices in Detroit, MI and has the professional credentials of CRNA. The NPI Number for Alyssa R Roegner is 1194112482 and holds a License No. APRN11038397 (FL). The current practice location address for Alyssa R Roegner is 2799 W Grand Blvd, Detroit, MI 48202-2689 and can be reached out via phone at 313-916-2600.

Provider Profile Details

NPI Number
1194112482
Provider Name
Alyssa R Roegner
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
2799 W Grand Blvd, Detroit, MI 48202-2689
Phone Number
313-916-2600
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
April 24, 2015
Last Update Date
September 23, 2025
Certification Date
September 23, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
2799 W Grand Blvd
Detroit, MI 48202-2689
Zip
48202-2689
Phone Number
313-916-2600
Detroit, MI 48202Get directions →

Provider Business Mailing Address Details

Address
54817 Lawson Creek Dr
Shelby Twp, MI 48316-3175
City
Shelby Twp
State
MI
Zip
48316-3175

License Information

License Number (1)
APRN11038397
License State (1)
FL
Taxonomy (1)
Nurse Anesthetist, Certified Registered · 367500000X · Primary
License Number (2)
4704310398
License State (2)
MI
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X
License Number (3)
RN10000050
License State (3)
MA
Taxonomy (3)
Nurse Anesthetist, Certified Registered · 367500000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alyssa R Roegner, CRNA?

The NPI number of Alyssa R Roegner, CRNA is 1194112482. It was assigned on April 24, 2015 and is currently active in the NPPES registry.

What is the specialty of Alyssa R Roegner, CRNA?

Alyssa R Roegner, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in FL under license number APRN11038397.

Where does Alyssa R Roegner, CRNA practice?

The practice location is 2799 W Grand Blvd, Detroit, MI 48202-2689. The office can be reached at 313-916-2600 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194112482 directly on the NPPES registry website.

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