Individual provider Active NPI

Brian Nixon

  • Certified Registered Nurse Anesthetist
  • Livonia, MI
National Provider Identifier
1780256750
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704323583 Issued in MI
Practice address
33463 Cindy St
Livonia, MI 48150-2601
Phone
(734) 552-1435
NPI assigned
Jul 10, 2021
Last updated
Oct 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704323583 MI Primary
Registered Nurse 163W00000X 4704323583 MI

Addresses

Primary practice location

33463 Cindy St
Livonia, MI 48150-2601

Mailing address

33463 Cindy St
Livonia, MI 48150-2601
Phone (734) 552-1435

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220926001218 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072999283 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Oakland Univ, William Beaumont School of Medicine, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Northstar Anesthesia of Michigan III PLLCGroup PAC ID 7911325469, 561 clinicians

Practice addresses (Care Compare)

10000 Telegraph Rd
Taylor, MI 48180-3330
Phone (214) 687-0001

33155 Annapolis St
Wayne, MI 48184-2405
Phone (214) 687-0001

36650 Five Mile Rd
Suite 100
Livonia, MI 48154-1956
Phone (734) 434-6262

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704323583MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Huron Gastroenterology Associates PC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2025 Accepting new patients
Huron Gastroenterology Associates PC CurrentSince Mar 1, 2025 Accepting new patients
Kalamazoo Anesthesiology P C CurrentSince Jun 1, 2025 Accepting new patients
Northstar Anesthesia of Michigan III PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 2, 2024 Accepting new patients

Locations

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

900 Peeler St
Kalamazoo, MI 49008
Phone (269) 345-8618

36650 5 Mile Rd
Ste 100
Livonia, MI 48154
Phone (734) 432-0314

36650 5 Mile Rd
Ste 101
Livonia, MI 48154
Phone (734) 434-6262

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

5300 Elliott Dr
Ypsilanti, MI 48197
Phone (734) 434-6262

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1625875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1780256750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33463 CINDY ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502601",
            "telephone_number": "734-552-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33463 CINDY ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502601",
            "telephone_number": "734-552-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXON",
        "first_name": "BRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-10",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704323583",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704323583",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.