Active NPI
Andrew C Wirebaugh, CRNA
- Certified Registered Nurse Anesthetist
- Clinton TWP, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704198984
- Practice address
- 15855 19 Mile Rd
Clinton TWP, MI 48038-3504 - Phone
- (586) 263-2370
- NPI assigned
- Feb 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704198984 | MI | Primary |
Addresses
Primary practice location
15855 19 Mile Rd
Clinton TWP, MI 48038-3504
Mailing address
15855 19 Mile Rd
Clinton TWP, MI 48038-3504
Phone (586) 263-2370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4402515 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
31 N Saint Joseph Ave
Niles, MI 49120-2207
Phone (269) 683-5510
Hospital & facility affiliations
- Lakeland Hospital, St Joseph
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blanchard Valley Regional Health Center | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Blanchard Valley Regional Health Center | Current | Accepting new patients | |
| Blanchard Valley Regional Health Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lakeland Hospitals at Niles and St Joseph, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Blanchard Valley Regional Health Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Beacon Medical Group Inc | Current | Accepting new patients | |
| Lima Memorial Professional Corporation | Current | Accepting new patients | |
| Kalamazoo Anesthesiology P C | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Garden City Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Detroit Osteopathic Hospital Corporation | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
6913 N Main St
Granger, IN 46530
Phone (574) 647-1500
3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129
900 Peeler St
Kalamazoo, MI 49008
Phone (269) 345-8618
31 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 428-2417
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
1234 Napier Ave
#32
Saint Joseph, MI 49085
Phone (269) 428-0118
139 Garau St
Bluffton, OH 45817
Phone (419) 358-9010
L3982
Columbus, OH 43260
1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500
1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335
Interoperability endpoints
- https://phsfhir.primehealthcare.com/PHS-PRD-FHIR/api/FHIR/R4
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
- Anesthesiology Physician
- Kalamazoo, MI
- NPI 1407821796
-
- Specialist
- Lima, OH
- NPI 1457474900
-
- Community Health Clinic/Center
- Saint Joseph, MI
- NPI 1184513731
-
- Anesthesiology Physician
- Saint Joseph, MI
- NPI 1598305641
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1437803285
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
- Family Medicine Physician
- Findlay, OH
- NPI 1083665251
-
- Rehabilitation Hospital Unit
- Findlay, OH
- NPI 1578336400
-
- Emergency Medicine Physician
- Bluffton, OH
- NPI 1588607949
Nurse Anesthetist, Certified Registered
-
- Emergency Medicine Physician
- Findlay, OH
- NPI 1699718320
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Warren, MI
- NPI 1336182351
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1043358898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15855 19 MILE RD",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480383504",
"telephone_number": "586-263-2370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15855 19 MILE RD",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480383504",
"telephone_number": "586-263-2370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIREBAUGH",
"first_name": "ANDREW",
"middle_name": "C",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-02",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704198984",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4402515",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.