Individual provider Active NPI

Brooke Champane Thomson, CRNA, DNAP

  • Certified Registered Nurse Anesthetist
  • Wyandotte, MI
National Provider Identifier
1376277699
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704314176 Issued in MI
Practice address
2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone
(734) 246-6000
NPI assigned
Jul 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 4704314176 MI Primary

Addresses

Primary practice location

2333 Biddle Ave
Wyandotte, MI 48192-4668

Mailing address

3615 Middlebury LN
Bloomfield Hills, MI 48301-3362
Phone (313) 204-5120

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230823001527 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254794316 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuro Pain Consultants PCGroup PAC ID 1052204062, 20 clinicians
Medical Directors Consultants PLCGroup PAC ID 9739697822, 17 clinicians
American Surgical Centers II, LLCGroup PAC ID 0143217000, 7 clinicians
American Surgical Centers - Ann Arbor LLCGroup PAC ID 8224476205, 14 clinicians

Practice addresses (Care Compare)

359 Enterprise CT
Bloomfield Hills, MI 48302-0305
Phone 2487517246398

359 Enterprise CT
Bloomfield Hills, MI 48302-1055
Phone (248) 220-7505

7091 Orchard Lake Rd
Suite 230
West Bloomfield, MI 48322-3651
Phone (248) 538-7095

710 Avis Dr
Suite 100
Ann Arbor, MI 48108-9517
Phone (734) 719-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704314176MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Directors Consultants PLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2025 Accepting new patients
American Surgical Centers II L L C CurrentSince Apr 24, 2025 Accepting new patients
Henry Ford Wyandotte Hospital Nurse Anesthetist, Certified Registered CurrentSince Jul 18, 2023 Accepting new patients
Henry Ford Wyandotte Hospital CurrentSince Jul 18, 2023 Accepting new patients
American Surgical Centers - Ann Arbor LLC CurrentSince Apr 7, 2025 Accepting new patients
Neuro Pain Consultants PC CurrentSince Dec 16, 2024 Accepting new patients

Locations

2370 Momentum Pl
Chicago, IL 60689

710 Avis Dr
Ste 100
Ann Arbor, MI 48108
Phone (734) 719-8900

359 Enterprise Ct
Ste C
Bloomfield Township, MI 48302
Phone (248) 220-7505

799 Denison Ct
Fl 2
Bloomfld Hls, MI 48302
Phone (248) 630-4333

359 Enterprise Ct
Bloomfld Hls, MI 48302
Phone (248) 220-7505

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15471/brand/1/csg/1/fhir/r4
  • Direct secure messaging: bchampane525105@direct.hfhs.org

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1376277699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 MIDDLEBURY LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013362",
            "telephone_number": "313-204-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 BIDDLE AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481924668",
            "telephone_number": "734-246-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSON",
        "first_name": "BROOKE",
        "middle_name": "CHAMPANE",
        "credential": "CRNA, DNAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704314176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandotte, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.