Individual provider Active NPI

Kevin Chadwick, CRNA

  • Certified Registered Nurse Anesthetist
  • Lansing, MI
National Provider Identifier
1104287960
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704276341 Issued in MI
Practice address
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone
(517) 364-3380
Fax
(517) 364-3399
NPI assigned
Mar 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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 4704276341 MI Primary

Addresses

Primary practice location

1215 E Michigan Ave
Lansing, MI 48912-1811

Mailing address

PO Box 13008
Lansing, MI 48901-3008
Phone (517) 364-6253

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160321000585 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 0345547246 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Anesthesia PLLCGroup PAC ID 8628471190, 37 clinicians
Celebrity Anesthesia Staffing LLCGroup PAC ID 3678987534, 26 clinicians

Practice addresses (Care Compare)

1707 Lake Lansing Rd
Lansing, MI 48912-3742
Phone (517) 997-8211

7276 Huron Ave
Lexington, MI 48450-8324
Phone (512) 593-1945

Hospital & facility affiliations

  • Eaton Rapids Medical Center Hospital, Eaton Rapids, MI, CCN 231324

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Clinton Hospital Nurse Anesthetist, Certified Registered CurrentSince Sep 5, 2019 Accepting new patients
Pinnacle Anesthesia PLLC CurrentSince May 1, 2025 Accepting new patients
Sparrow Carson Hospital Current Accepting new patients
Sparrow Ionia Hospital Current Accepting new patients
Sparrow Clinton Hospital CurrentSince Sep 5, 2019 Accepting new patients
Capital Pathology PC Current Accepting new patients
Sparrow Ionia Hospital Nurse Anesthetist, Certified Registered CurrentSince Jan 15, 2022 Accepting new patients
Sparrow Clinton Hospital Current Accepting new patients
Sparrow Carson Hospital CurrentSince Jan 15, 2022 Accepting new patients
Sparrow Ionia Hospital CurrentSince Jan 15, 2022 Accepting new patients
Sparrow Carson Hospital Nurse Anesthetist, Certified Registered CurrentSince Jan 15, 2022 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Feb 22, 2016 Accepting new patients
Emergency Medical Associates, PLLC Current Accepting new patients
Edward W Sparrow Hospital Association Current Accepting new patients
Sparrow Clinton Hospital Current Accepting new patients
Edward W. Sparrow Hospital Association Nurse Anesthetist, Certified Registered CurrentSince Feb 22, 2016 Accepting new patients
Celebrity Anesthesia Staffing LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

917 W Washington Blvd
Chicago, IL 60607
Phone (312) 248-3655

8175 Reliable Pkwy
Chicago, IL 60686

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

1500 S Main St
Eaton Rapids, MI 48827
Phone (517) 663-2671

1179 East Paris Ave SE
Ste E200
Grand Rapids, MI 49546
Phone (616) 975-9100

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

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

1701 South Blvd E
Ste 300
Rochester Hills, MI 48307
Phone (248) 844-9710

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

50438 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 726-8423

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 2

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": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1104287960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13008",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489013008",
            "telephone_number": "517-364-6253",
            "fax_number": "517-364-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121811",
            "telephone_number": "517-364-3380",
            "fax_number": "517-364-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADWICK",
        "first_name": "KEVIN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704276341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.