Individual provider Active NPI

Andrea M Brown, CRNA

  • Certified Registered Nurse Anesthetist
  • Troy, MI
National Provider Identifier
1053390518
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704161783 Issued in MI
Practice address
3455 Livernois Rd
Troy, MI 48083-5063
Phone
(248) 619-2020
NPI assigned
Jan 12, 2006
Last updated
Jan 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704161783 MI Primary

Addresses

Primary practice location

3455 Livernois Rd
Troy, MI 48083-5063

Mailing address

5623 E Dunbar Rd
Monroe, MI 48161-9127
Phone (734) 241-3891

Other practice location 1

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-9510

Other identifiers 2

IdentifierTypeStateIssuer
4603845 10MedicaidMI
430F374030OtherMIBCBS PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040714001099 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193704112 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Essential Anesthesia Services, PLCGroup PAC ID 0244492494, 17 clinicians
Northwestern Services LLCGroup PAC ID 4486723657, 47 clinicians
Munson Medical CenterGroup PAC ID 3072426287, 377 clinicians
Anesthesia Associates of Ann Arbor PLLCGroup PAC ID 1355317223, 213 clinicians

Practice addresses (Care Compare)

264 W Maple Rd
Suite 100
Troy, MI 48084-5458
Phone (248) 269-5594

30055 Northwestern Hwy
Suite L 60
Farmington Hills, MI 48334-3274
Phone (248) 265-6555

4100 Park Forest Dr
Traverse City, MI 49684-7331
Phone (231) 392-8900

44405 Woodward Ave
Pontiac, MI 48341-5023
Phone (248) 585-3023

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704161783MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Services, LLC CurrentSince Jan 16, 2021 Accepting new patients
Northwestern Services, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
West Michigan Aas LLC CurrentSince Feb 26, 2022 Accepting new patients
Munson Medical Group CurrentSince Jun 10, 2024 Accepting new patients
Northstar Anesthesia of Michigan II PC Nurse Anesthetist, Certified Registered CurrentSince Jan 5, 2014 Accepting new patients
Midwest Anesthesia Resources, Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 10, 2008 Accepting new patients
Novi Aas LLC CurrentSince Mar 1, 2026 Accepting new patients
Anesthesia Associates of Ann Arbor, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 23, 2021 Accepting new patients
Munson Medical Center Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2025 Accepting new patients
William Beaumont Hospital Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 1997 Accepting new patients
Munson Medical Group Current Accepting new patients
Michigan Crnas Staffing LLC CurrentSince Feb 26, 2022 Accepting new patients
Munson Medical Center CurrentSince Feb 1, 2025 Accepting new patients
William Beaumont Hospital CurrentSince Jul 1, 1997 Accepting new patients
Essential Anesthesia Services, PLC Nurse Anesthetist, Certified Registered CurrentSince Nov 11, 2024 Accepting new patients
Ambulatory Anesthesia Associates, PC Nurse Anesthetist, Certified Registered CurrentSince Feb 6, 2014 Accepting new patients
Northstar Anesthesia of Michigan III PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2021 Accepting new patients
Munson Medical Group Nurse Anesthetist, Certified Registered CurrentSince Jun 10, 2024 Accepting new patients
McLaren Macomb Past Accepting new patients
Straith Hospital for Special Surgery Past Accepting new patients

Locations (25 of 26)

2006 Hogback Rd
Ste 5
Ann Arbor, MI 48105
Phone (313) 712-4331

17000 Executive Plaza Dr
Ste 301
Dearborn, MI 48126
Phone (313) 408-6613

30055 Northwestern Hwy
Ste L-60
Farmington Hills, MI 48334
Phone (248) 265-6555

701 S Ballenger Hwy
Flint, MI 48532
Phone (810) 238-3603

4024 Park East Ct SE
Grand Rapids, MI 49546
Phone (231) 592-3102

3800 Centennial Dr
Grass Lake, MI 49240
Phone (517) 701-3100

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033

3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063

1030 N Monroe St
Ste 2
Monroe, MI 48162
Phone (734) 682-3309

25500 Meadowbrook Rd
Ste 110
Novi, MI 48375
Phone (248) 477-0220

26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500

43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

3601 W 13 Mile Rd
Royal Oak, MI 48073

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1105 Sixth St
Ste 103
Traverse City, MI 49684
Phone (231) 935-6455

1200 Sixth St
Ste 200
Traverse City, MI 49684

4100 Park Forest Dr
Traverse City, MI 49684
Phone (231) 392-8900

130 Town Center Dr
Ste 203
Troy, MI 48084
Phone (248) 585-8250

1560 E Maple Rd
#100
Troy, MI 48083
Phone (248) 817-2001

230 W Maple Rd
Troy, MI 48084
Phone (248) 244-1500

264 W Maple Rd
Ste 100
Troy, MI 48084
Phone (248) 269-5594

3455 Livernois Rd
Troy, MI 48083
Phone (248) 619-2020

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1053390518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5623 E DUNBAR RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481619127",
            "telephone_number": "734-241-3891",
            "fax_number": "734-241-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 LIVERNOIS RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835063",
            "telephone_number": "248-619-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736712",
            "country_code": "US",
            "telephone_number": "248-898-9510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANDREA",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704161783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4603845 10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "430F374030",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.

Verify at the official NPI Registry.