Active NPI
Michael Chinneck, CRNA
- Certified Registered Nurse Anesthetist
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704289695
- Practice address
- 900 Peeler St
Kalamazoo, MI 49008-2300 - Phone
- (269) 345-8618
- NPI assigned
- Nov 28, 2016
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704289695 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | 28276094A | IN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 227721 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704289695 | MI | Primary |
Addresses
Primary practice location
900 Peeler St
Kalamazoo, MI 49008-2300
Mailing address
900 Peeler St
Kalamazoo, MI 49008-2300
Phone (269) 345-8618
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356884159 | Medicaid | IN | |
| 4704289695 | Other | MI | RN LICENSE - MICHGIAN |
| 4704289695 | Other | MI | MI RN LICENSE WITH NURSE ANESTHETIST NURSE SPECIALTY CERTIFICATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 High Park Ave
Goshen, IN 46526-4810
Phone (574) 364-1000
4455 Edison Lakes Pkwy
Mishawaka, IN 46545-1414
Phone (574) 231-6800
5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-5000
Hospital & facility affiliations
- Unity Physicians Hospital
- Saint Joseph Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704289695 | MI | MD | Registered Nurse |
| 28276094A | IN | MD | Certified Registered Nurse Anesthetist |
| 227721 | SC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Australia Anesthesia Management LLC | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| United Surgeons, LLC | Current | Accepting new patients | |
| Apollo Medical Group of Michigan PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Community Health Center of Branch County | Current | Accepting new patients | |
| Sda Consultants PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Current | Accepting new patients | |
| The South Bend Clinic, LLC | Current | Accepting new patients | |
| Jebs Anesthesia Consultants, LLC | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| The South Bend Clinic LLC | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Monaco Management, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Regio T Penna MD, PC | Current | Accepting new patients | |
| Community Health Center of Branch County | Current | Accepting new patients | |
| Community Health Center of Branch County | Current | Accepting new patients | |
| Clinical Colleagues Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Kalamazoo Anesthesiology P C | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Community Health Center of Branch County | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100
500 Arcade Ave
Ste 100
Elkhart, IN 46514
Phone (574) 389-5683
7747 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-9104
7747 W Jefferson Blvd
#A
Fort Wayne, IN 46804
Phone (260) 459-8444
1605 Winsted Dr
Goshen, IN 46526
Phone (574) 271-0013
200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141
1601 W Lincoln Rd
Kokomo, IN 46902
Phone (765) 453-5696
4455 Edison Lakes Pkwy
Mishawaka, IN 46545
Phone (574) 231-6134
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
3930 Edison Lakes Pkwy
Ste 100
Mishawaka, IN 46545
3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498
1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181
211 N Eddy St
South Bend, IN 46617
Phone (574) 237-9331
300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104
274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400
900 Peeler St
Kalamazoo, MI 49008
Phone (269) 345-8618
3200 W Centre Ave
Ste 101
Portage, MI 49024
Phone (269) 323-9905
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691
Interoperability endpoints
- https://epicproxy.et1296.epichosted.com/APIProxyPRD/api/FHIR/R4/
Organizations & group practices 23
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
- Goshen, IN
- NPI 1700601903
-
- Anesthesiology Physician
- Mishawaka, IN
- NPI 1306722418
-
- Mobile Mammography Clinic/Center
- South Bend, IN
- NPI 1023844693
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1518197011
-
- Anesthesiology Physician
- Portage, MI
- NPI 1699582593
Nurse Anesthetist, Certified Registered
-
- General Practice Physician
- Coldwater, MI
- NPI 1124055009
-
- Anesthesiology Physician
- Kalamazoo, MI
- NPI 1407821796
-
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
- Anesthesiology Physician
- Alma, MI
- NPI 1568125177
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Van Wert, OH
- NPI 1992725766
MI, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- La Porte, IN
- NPI 1790447761
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1336605500
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1023965795
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1518197011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1356884159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 PEELER ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490082300",
"telephone_number": "269-345-8618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 PEELER ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490082300",
"telephone_number": "269-345-8618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINNECK",
"first_name": "MICHAEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-28",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704289695",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28276094A",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "SC",
"license": "227721",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704289695",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356884159",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE - MICHGIAN",
"identifier": "4704289695",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI RN LICENSE WITH NURSE ANESTHETIST NURSE SPECIALTY CERTIFICATION",
"identifier": "4704289695",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
- Monase Mickness Chibambo, NP
- Mark J Chicoine, DDS
- Child & Family Psychological Services, P.C.
- Child & Family Psychological Services, P.C.
- Child & Family Psychological Services, P.C.
- Pritha Chitagi, M.D.
- John David Chlebana, RPH
- Mark Yun Choe, CRNA
- Choices for Change
- Choices for Change Counseling Agency LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.