Active NPI
Andrea Kline Ozimek, CRNA, MS
- Certified Registered Nurse Anesthetist
- Livonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704276820
- Practice address
- 36475 Five Mile Rd
Livonia, MI 48154-1971 - Phone
- (734) 655-2031
- NPI assigned
- Jan 4, 2016
- Sex
- Female
- 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 | 4704276820 | MI | Primary |
Addresses
Primary practice location
36475 Five Mile Rd
Livonia, MI 48154-1971
Mailing address
36475 Five Mile Rd
Livonia, MI 48154-1971
Phone (734) 655-4800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone (312) 942-3138
Hospital & facility affiliations
- Rush University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Michigan II PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St Mary Mercy Hospital Crna | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Anesthesiologists SC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138
1653 W Congress Pkwy
#739
Chicago, IL 60612
Phone (312) 942-3138
350 E Devon Ave
Itasca, IL 60143
520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300
3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063
1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033
36622 5 Mile Rd
Ste 201
Livonia, MI 48154
Phone (734) 351-5272
36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800
26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500
5450 Fort St
Woodhaven, MI 48183
Phone (734) 671-3297
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1073558136
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Livonia, MI
- NPI 1063602092
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Irving, TX
- NPI 1437268026
MI, Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1235595463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36475 FIVE MILE RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481541971",
"telephone_number": "734-655-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36475 FIVE MILE RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481541971",
"telephone_number": "734-655-2031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OZIMEK",
"first_name": "ANDREA",
"middle_name": "KLINE",
"credential": "CRNA, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-04",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704276820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.