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HYDER I MIRZA APRN, CRNA
NPI 1093591786
Nurse Anesthetist, Certified Registered in Jackson, MI

Active since September 07, 2023PECOS EnrolledAccepts Medicare Assignment
205 N EAST AVE, JACKSON, MI 49201(517) 205-7836 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 16, 2026, Jun 12, 2025, Sep 7, 2023 (3 updates tracked since 2023).

About Hyder I Mirza Aprn, Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HYDER I MIRZA APRN, CRNA (NPI 1093591786) is an individual nurse anesthetist, certified registered in Jackson, Michigan, licensed in Michigan (4704362811) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS, is affiliated with Osf Saint Elizabeth Mdl Ctr, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093591786
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameHYDER I MIRZACredential: APRN, CRNA
Location Address205 N EAST AVEJackson, MI 49201-1753
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806
Phone(517) 205-7836
Sole ProprietorYes
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2025
Enumeration DateSeptember 7, 2023
Last NPPES UpdateJuly 16, 20263 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1093591786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in MI · 4704362811✔ Licensed in IL · 209032471
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 041.529930 (IL)
205 N EAST AVE, Jackson, MI 49201
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13333 Green Bay RdNorth Chicago, IL 60064-3037 · Phone (313) 605-5981
Location 21100 E Norris DrOttawa, IL 61350-1604 · Phone (815) 433-3100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hyder I Mirza Aprn, Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052825742
PECOS Enrollment IDI20250707000416, I20260223002380
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Hyder Mirza reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

W.A. Foote Memorial Hospital
Same address
Nurse Anesthetist, Certified Registered
205 N EAST AVE, CRNA
Jackson, MI 49201
  • Reassigned Medicare billing, Michigan enrollment
  • 107 clinicians in this Medicare group
NPI 1598776718 (517) 788-4800
Monaco Management, LLC
82 mi
Anesthesiology
300 E WARWICK DR
Alma, MI 48801
  • Reassigned Medicare billing, Michigan enrollment
  • 62 clinicians in this Medicare group
NPI 1568125177 (833) 352-0096
Spectrum Health Primary Care Partners
84 mi
Radiology
4100 LAKE DR SE, SUITE 102
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
NPI 1528374683 (616) 974-4800
Rockford Anesthesiologists Associated, L.L.C.
247 mi
Nurse Anesthetist, Certified Registered
2202 HARLEM RD
Loves Park, IL 61111
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rockford Anesthesiologists Associated LLC
  • 46 clinicians in this Medicare group
NPI 1629090642 (815) 877-4848
Osf Multi-Specialty Group
301 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1154908929 (309) 683-5050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Osf Saint Paul Medical Center

Critical Access Hospitals · Mendota, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number141310
Location1401 E 12th StreetMendota, IL 61342 · La Salle County
Emergency services

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA RENE DANEK PA-C
Physician Assistant
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 788-4811
TERRI LYNN LADWIG ACNP-BC
Nurse Practitioner (Acute Care)
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 205-4800
SAMANTHA MISHRA DO
Student in an Organized Health Care Education/Training Program
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 788-4800
JOSHUA BOOTH CRNA
Nurse Anesthetist, Certified Registered
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 205-4800
NADINE BALLOUT MD
Anesthesiology
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 205-4730
MICHELLE WINTERS
Specialist/Technologist (Athletic Trainer)
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 205-4800
NINA MARIE BOCK PA-C
Physician Assistant
205 N EAST AVE
JACKSON, MI 49201
Jackson County (248) 990-5924
MRS. CHRISTINE HUFF RDN
Dietitian, Registered
205 N EAST AVE, FOOTE HOSPITAL, NUTRITION SERVICES DEPT.
JACKSON, MI 49201
Jackson County (517) 768-7793

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hyder Mirza's NPI number?

The NPI number for Hyder Mirza is 1093591786. It was assigned to this individual provider in the NPPES registry on September 7, 2023.

Where is Hyder Mirza located?

Hyder Mirza practices at 205 N East Ave, Jackson, MI 49201. The listed phone number is (517) 205-7836.

What is Hyder Mirza's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Hyder Mirza enrolled in Medicare?

Yes. Hyder Mirza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Hyder Mirza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hyder Mirza reassigns Medicare benefits to 5 organizations: W.A. Foote Memorial Hospital (Jackson, MI), Monaco Management, LLC (Alma, MI), Spectrum Health Primary Care Partners (Grand Rapids, MI), Rockford Anesthesiologists Associated, L.L.C. (Loves Park, IL) and Osf Multi-Specialty Group (Peoria, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hyder Mirza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hyder Mirza accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Hyder Mirza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hyder Mirza affiliated with any hospitals?

According to CMS data, Hyder Mirza is affiliated with Osf Saint Elizabeth Mdl Ctr, Uw Health, Osf Saint Paul Medical Center and Spectrum Health.

When was this NPI record last updated?

The NPPES record for Hyder Mirza was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.