Individual provider Active NPI

Michael Chinneck, CRNA

  • Certified Registered Nurse Anesthetist
  • Kalamazoo, MI
National Provider Identifier
1356884159
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704289695 Issued in MI
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

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1356884159MedicaidIN
4704289695OtherMIRN LICENSE - MICHGIAN
4704289695OtherMIMI RN LICENSE WITH NURSE ANESTHETIST NURSE SPECIALTY CERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170516001162 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163709445 Reassigns benefits to 6 organizations
I20230109000938 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163709445 Reassigns benefits to 7 organizations

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
Australia Anesthesia Management LLCGroup PAC ID 9436671864, 58 clinicians
United Surgeons LLCGroup PAC ID 0941260061, 22 clinicians
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians

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 Hospital, Mishawaka, IN, CCN 150177
  • Saint Joseph Regional Medical Center Hospital, Mishawaka, IN, CCN 150012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704289695MIMDRegistered Nurse
28276094AINMDCertified Registered Nurse Anesthetist
227721SCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Australia Anesthesia Management LLC CurrentSince May 29, 2025 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc Current Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Sep 7, 2022 Accepting new patients
Cep America - Anesthesia PC CurrentSince Oct 31, 2025 Accepting new patients
United Surgeons, LLC Current Accepting new patients
Apollo Medical Group of Michigan PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 3, 2025 Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Sda Consultants PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc. CurrentSince Sep 15, 2022 Accepting new patients
The South Bend Clinic, LLC CurrentSince Apr 17, 2025 Accepting new patients
Jebs Anesthesia Consultants, LLC CurrentSince Jan 1, 2023 Accepting new patients
Cep America - Anesthesia PC CurrentSince Oct 31, 2025 Accepting new patients
The South Bend Clinic LLC CurrentSince Apr 17, 2025 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 CurrentSince Sep 7, 2022 Accepting new patients
Monaco Management, LLC Nurse Anesthetist, Certified Registered CurrentSince May 29, 2023 Accepting new patients
Regio T Penna MD, PC Current Accepting new patients
Community Health Center of Branch County CurrentSince Jul 22, 2023 Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 6, 2024 Accepting new patients
Kalamazoo Anesthesiology P C CurrentSince May 15, 2017 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2022 Accepting new patients
Community Health Center of Branch County CurrentSince Jul 22, 2023 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

  • FHIR API: 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.

View all 23

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": "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

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.

Verify at the official NPI Registry.