NPIMap

Individual provider Active NPI

Codee Taylor Lewicki, CRNA

  • Certified Registered Nurse Anesthetist
  • Royal Oak, MI
National Provider Identifier
1689148991
Registry record updated Jan 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704289687 Issued in MI
Practice address
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone
(248) 898-5000
NPI assigned
Jan 20, 2019
Last updated
Jan 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2019

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 4704289687 MI Primary

Addresses

Primary practice location

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

Mailing address

49677 Courtyard LN
Canton, MI 48188-3474
Phone (734) 502-7029

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190225002000 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931448677 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Apollo Medical Group of Michigan PLLCGroup PAC ID 6103354329, 24 clinicians
Rest Assured Anesthesia Management IncGroup PAC ID 3274971007, 21 clinicians
Monaco Management LLCGroup PAC ID 9739577461, 37 clinicians

Practice addresses (Care Compare)

3200 W Centre Ave
Suite 101
Portage, MI 49024-4889
Phone (269) 323-9950

3600 Capital Ave SW
Suite 101
Battle Creek, MI 49015-9393
Phone (269) 979-2490

3663 N Country Dr
Alliance Surgery Ctr
Traverse City, MI 49684-4587
Phone (231) 252-1228

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704289687MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Scheurer Hospital CurrentSince Apr 1, 2025 Accepting new patients
Scheurer Hospital Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2025 Accepting new patients
McLaren Central Michigan Current Accepting new patients
Scheurer Hospital CurrentSince Sep 1, 2025 Accepting new patients
McLaren Central Michigan Nurse Anesthetist, Certified Registered CurrentSince Sep 26, 2023 Accepting new patients
Monaco Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 29, 2025 Accepting new patients
Apollo Medical Group of Michigan PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 2, 2025 Accepting new patients
McLaren Central Michigan Current Accepting new patients
William Beaumont Hospital Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2019 Accepting new patients
McLaren Central Michigan CurrentSince Sep 26, 2023 Accepting new patients
William Beaumont Hospital CurrentSince Feb 1, 2019 Accepting new patients
McLaren Hospital Group CurrentSince Jan 1, 2026 Accepting new patients
Clinical Colleagues LLC Nurse Anesthetist, Certified Registered CurrentSince May 11, 2025 Accepting new patients
Scheurer Hospital Past Accepting new patients

Locations

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

170 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-3223

3200 W Centre Ave
Ste 101
Portage, MI 49024
Phone (269) 323-9905

3601 W 13 Mile Rd
Royal Oak, MI 48073

701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

3663 N Country Dr
Traverse City, MI 49684
Phone (231) 252-1228

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 11

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": "1547942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547942400000",
    "number": "1689148991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49677 COURTYARD LN",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481883474",
            "telephone_number": "734-502-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736712",
            "telephone_number": "248-898-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWICKI",
        "first_name": "CODEE",
        "middle_name": "TAYLOR",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-20",
        "last_updated": "2019-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704289687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2019; 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.