Individual provider Active NPI

Andrew J Matthews, CRNA

  • Certified Registered Nurse Anesthetist
  • Ypsilanti, MI
National Provider Identifier
1346969821
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704318743 Issued in MI
Practice address
5301 McAuley Dr
Ypsilanti, MI 48197-1051
Phone
(734) 712-3456
NPI assigned
Aug 26, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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 AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X 4704318743 MI Primary

Addresses

Primary practice location

5301 McAuley Dr
Ypsilanti, MI 48197-1051

Mailing address

22735 Power Rd
Farmington, MI 48336-4019
Phone (734) 353-0650

Other practice location 1

1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (586) 493-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220916000673 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173908886 Reassigns benefits to 6 organizations
I20250214002370 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173908886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Wayne State University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Michigan PLLCGroup PAC ID 9638481591, 192 clinicians
Sjmhs Anesthesia ServicesGroup PAC ID 7416053483, 103 clinicians

Practice addresses (Care Compare)

3990 John R St
Detroit, MI 48201-2018
Phone (313) 993-0822

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-3615

5301 E Huron River Dr
Ypsilanti, MI 48197-1051
Phone (734) 712-3456

7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 624-4500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704318743MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Ohio Anesthesia Consultants LLC Multi-Specialty CurrentSince Feb 1, 2025 Accepting new patients
Northstar Anesthesia of Michigan III PLLC Multi-Specialty CurrentSince Jun 21, 2023 Accepting new patients
GLPS Staffing Solutions LLC Multi-Specialty CurrentSince Sep 1, 2022 Accepting new patients
Sjmhs Anesthesia Services Multi-Specialty Current Accepting new patients
Northstar Anesthesia of Michigan PLLC Multi-Specialty CurrentSince Apr 1, 2025 Accepting new patients
Nsa Pain Services of Michigan III, PLLC Multi-Specialty CurrentSince May 1, 2023 Accepting new patients
Sjmhs Anesthesia Services Multi-Specialty Current Accepting new patients
Conquest Pain Management, LLC Multi-Specialty CurrentSince Jan 1, 2026 Accepting new patients
Sjmhs Anesthesia Services Multi-Specialty CurrentSince Oct 7, 2022 Accepting new patients

Locations

4 Columbus Ave
Ste 260
Bay City, MI 48708
Phone (989) 308-1840

7575 Grand River Rd
Brighton, MI 48114
Phone (810) 844-7544

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

31995 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 538-4701

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

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

375 Barclay Cir
Rochester Hills, MI 48307
Phone (248) 491-8894

29877 Telegraph Rd
Southfield, MI 48034
Phone (248) 352-1890

15750 Northline Rd
Southgate, MI 48195
Phone (248) 798-3130

43145 Schoenherr Rd
Unit 13
Sterling Heights, MI 48313
Phone (586) 997-5048

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

3290 W Big Beaver Rd
Ste 150
Troy, MI 48084
Phone (248) 792-6527

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

2333 Progress St
West Branch, MI 48661
Phone (989) 343-3178

5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246

400 10th St E
Waconia, MN 55387

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1346969821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22735 POWER RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483364019",
            "telephone_number": "734-353-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 MCAULEY DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971051",
            "telephone_number": "734-712-3456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Harrington St",
            "address_purpose": "LOCATION",
            "city": "Mount Clemens",
            "state": "MI",
            "postal_code": "480432920",
            "country_code": "US",
            "telephone_number": "586-493-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "ANDREW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704318743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.