Active NPI
John Hipol, CRNA
- Certified Registered Nurse Anesthetist
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11000298
- Practice address
- 22401 Foster Winter Dr
Southfield, MI 48075-3724 - Phone
- (248) 561-3095
- NPI assigned
- Jun 11, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704295301 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN11000298 | FL | Primary |
Addresses
Primary practice location
22401 Foster Winter Dr
Southfield, MI 48075-3724
Mailing address
30160 Manor Dr
Madison Heights, MI 48071-2294
Phone (248) 561-3095
Other practice location 1
900 Peeler St
Kalamazoo, MI 49008-2300
Phone (269) 342-7833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Michigan Ave NE
Grand Rapids, MI 49503-2560
100 Michigan St NE RM
280 Corewell Health Medical Group West
Grand Rapids, MI 49503-2560
Phone (616) 267-0115
1221 Pine Grove Ave
Port Huron, MI 48060-3511
Phone (810) 987-5000
1840 Wealthy St SE
Corewell Health Medical Group West
Grand Rapids, MI 49506-2921
Phone (616) 885-5000
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (734) 263-2400
4069 Lake Dr SE
Grand Rapids, MI 49546-8816
4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600
8333 Felch St
Zeeland, MI 49464-2608
Hospital & facility affiliations
- Trinity Health Muskegon Hospital
- Spectrum Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704295301 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| B & C Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
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.
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Certified Registered Nurse Anesthetist
- Rochester, MI
- NPI 1114378981
-
- Anesthesiology Physician
- Grand Rapids, MI
- NPI 1124063078
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
-
- Certified Registered Nurse Anesthetist
- Lansing, MI
- NPI 1699951947
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
-
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1972032027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30160 MANOR DR",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480712294",
"telephone_number": "248-561-3095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22401 FOSTER WINTER DR",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753724",
"telephone_number": "248-561-3095"
}
],
"practiceLocations": [
{
"address_1": "900 Peeler St",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490082300",
"country_code": "US",
"telephone_number": "269-342-7833",
"fax_number": "269-345-1508",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIPOL",
"first_name": "JOHN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-11",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704295301",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11000298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.