Individual provider Active NPI

Brad Michael Lueckhoff, DNAP

  • Certified Registered Nurse Anesthetist
  • Midland, MI
National Provider Identifier
1841010170
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704307648 Issued in MI
Practice address
4000 Wellness Dr
Midland, MI 48670-1000
Phone
(989) 839-3000
NPI assigned
Oct 11, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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 RN194632 AZ
Certified Registered Nurse Anesthetist 367500000X 4704307648 MI Primary

Addresses

Primary practice location

4000 Wellness Dr
Midland, MI 48670-1000

Mailing address

805 W Amelia Ave
Phoenix, AZ 85013-3318
Phone (586) 596-5376

Other practice location 1

14502 W Meeker Blvd
Sun City West, AZ 85375-5282
Phone (623) 524-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241111002159 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749714939 Reassigns benefits to 1 organization
I20260402003932 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749714939 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Anesthesia SolutionsGroup PAC ID 9234357906, 210 clinicians
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians

Practice addresses (Care Compare)

10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Phone (623) 832-4000

1101 W University Dr
Rochester, MI 48307-1863
Phone (248) 652-5000

4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 839-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN194632AZMDCertified Registered Nurse Anesthetist
4704307648MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Anesthesia Solutions Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2024 Accepting new patients

Locations

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

Organizations & group practices 5

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": "1728604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1841010170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W AMELIA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133318",
            "telephone_number": "586-596-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486701000",
            "telephone_number": "989-839-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14502 W Meeker Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853755282",
            "country_code": "US",
            "telephone_number": "623-524-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUECKHOFF",
        "first_name": "BRAD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DNAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-11",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "RN194632",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704307648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.