Individual provider Active NPI

Courtney Viviano

  • Certified Registered Nurse Anesthetist
  • Clinton Township, MI
National Provider Identifier
1568064848
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704304277 Issued in MI
Practice address
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone
(586) 263-2370
NPI assigned
Nov 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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 4704304277 MI Primary

Addresses

Primary practice location

15855 19 Mile Rd
Clinton Township, MI 48038-3504

Mailing address

PO Box 670884
Detroit, MI 48267-0884
Phone (313) 874-4806

Other practice location 1

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

Other practice location 2

2006 Hogback Rd Ste 5A
Ann Arbor, MI 48105-9750
Phone (734) 263-2417

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201214001037 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436561586 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Ann Arbor PLLCGroup PAC ID 1355317223, 213 clinicians
West Michigan Aas LLCGroup PAC ID 9931324076, 38 clinicians
Michigan Interventional Pain Associates PLLCGroup PAC ID 4385867266, 12 clinicians
Rochester Medical Associates PLLCGroup PAC ID 8729318704, 23 clinicians
Environ Anesthesia LLC.Group PAC ID 3870717754, 23 clinicians

Practice addresses (Care Compare)

11012 E 13 Mile Rd
Suite 112a
Warren, MI 48093-2546
Phone (586) 751-9800

11051 Hall Rd
Utica, MI 48317-5735
Phone (248) 740-0658

130 Town Ctr Dr
Troy, MI 48084-1744
Phone (248) 624-7246

1349 S Rochester Rd
Suite 150
Rochester Hills, MI 48307-3152
Phone (248) 844-3800

326 N Main St
Royal Oak, MI 48067-4121
Phone (248) 584-7600

Hospital & facility affiliations

  • Surgeons Choice Medical Center Hospital, Southfield, MI, CCN 230301

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
58.12
Improvement activities
40
Cost
68.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704304277MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Ann Arbor, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2024 Accepting new patients
West Michigan Aas LLC CurrentSince Sep 29, 2025 Accepting new patients
GLPS Staffing Solutions LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 22, 2020 Accepting new patients
Rochester Medical Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 11, 2021 Accepting new patients
Environ Anesthesia, LLC. Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2024 Accepting new patients
Michigan Interventional Pain Associates PLLC CurrentSince Nov 1, 2024 Accepting new patients
Novi Aas LLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

949 National Ave
Ste 151
Lexington, KY 40502
Phone (859) 509-8399

2006 Hogback Rd
Ste 5A
Ann Arbor, MI 48105
Phone (734) 786-2317

2006 Hogback Rd
Ste 5
Ann Arbor, MI 48105
Phone (313) 712-4331

21510 Harrington St
Ste 300
Clinton Twp, MI 48036
Phone (586) 323-4560

4024 Park East Ct SE
Grand Rapids, MI 49546
Phone (231) 592-3102

3800 Centennial Dr
Grass Lake, MI 49240
Phone (517) 701-3100

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

255 W Michigan Ave
Jackson, MI 49201

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

43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658

25500 Meadowbrook Rd
Ste 110
Novi, MI 48375
Phone (248) 477-0220

1349 S Rochester Rd
Ste 150
Rochester Hills, MI 48307
Phone (248) 844-3800

326 N Main St
Royal Oak, MI 48067
Phone (248) 584-7600

130 Town Center Dr
Ste 106
Troy, MI 48084
Phone (248) 593-9780

1560 E Maple Rd
#100
Troy, MI 48083
Phone (248) 817-2001

130 Town Center Dr
Ste 130
Troy, MI 48084
Phone (248) 624-7246

11012 E 13 Mile Rd
Ste 112A
Warren, MI 48093
Phone (586) 573-6880

2300 Haggerty Rd
Ste 2100
West Bloomfield, MI 48323
Phone (248) 624-7246

Organizations & group practices 7

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 5

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": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1568064848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670884",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482670884",
            "telephone_number": "313-874-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15855 19 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383504",
            "telephone_number": "586-263-2370"
        }
    ],
    "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"
        },
        {
            "address_1": "2006 Hogback Rd Ste 5A",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481059750",
            "country_code": "US",
            "telephone_number": "734-263-2417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIVIANO",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704304277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.