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SEAN S VANDERWAAL
NPI 1932744091
Nurse Anesthetist, Certified Registered in Ann Arbor, MI

Active since November 13, 2019
2006 HOGBACK RD STE 5A, ANN ARBOR, MI 48105(734) 263-2417 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 6, 2023, Nov 13, 2019 (2 updates tracked since 2019).

About Sean S Vanderwaal NPPES

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

SEAN S VANDERWAAL (NPI 1932744091) is an individual nurse anesthetist, certified registered in Ann Arbor, Michigan, licensed in Michigan (4704327749) and active in the NPI registry since November 2019. He is affiliated with Beaumont Hospital Royal Oak, maintains a secondary practice location in Detroit, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1932744091
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameSEAN S VANDERWAAL
Location Address2006 HOGBACK RD STE 5AAnn Arbor, MI 48105-9750
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806
Phone(734) 263-2417
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 13, 2019
Last NPPES UpdateMay 1, 20252 updates tracked since enumeration
NPPES CertifiedMay 1, 2025
✔ NPI 1932744091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MI · 4704327749
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.
2006 HOGBACK RD STE 5A, Ann Arbor, MI 48105
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Secondary Practice Location 1

Location 12799 W Grand BlvdDetroit, MI 48202-2689 · Phone (586) 243-5355

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sean S Vanderwaal is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800273426
PECOS Enrollment IDI20220519000729, I20251023000490

Medicare Billing Reassignments

3

Medicare enrollment records show Sean Vanderwaal reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesia Associates Of Ann Arbor, PLLC
16 mi
Anesthesiology
33545 CHERRY HILL RD FL 2
Westland, MI 48186
  • Reassigned Medicare billing, Michigan enrollment
  • 273 clinicians in this Medicare group
NPI 1669581997 (313) 293-7777
Promedica Central Physicians
43 mi
Family Medicine
100 MADISON AVE, MSC-S38805
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 1,072 clinicians in this Medicare group
NPI 1043270150 (567) 585-1964
Northstar Anesthesia Of Michigan III PLLC
972 mi
Pain Medicine
6225 N STATE HIGHWAY 161 STE 200
Irving, TX 75038
  • Reassigned Medicare billing, Michigan enrollment
  • 905 clinicians in this Medicare group
NPI 1972126209 (214) 687-0001

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
22 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Garden City Hospital

Acute Care Hospitals · Garden City, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230244
Location6245 Inkster RdGarden City, MI 48135 · Wayne County
Emergency services

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 18

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

DR. ANDREA JANE APSEY M.D.
Anesthesiology
2006 HOGBACK RD STE 5A
ANN ARBOR, MI 48105
Washtenaw County (210) 912-6160
DERYA TOKSOY BSN, RN, DNP
Nurse Anesthetist, Certified Registered
2006 HOGBACK RD STE 5A
ANN ARBOR, MI 48105
Washtenaw County (734) 263-2417
TARA LYNN KAUTZER CRNA
Nurse Anesthetist, Certified Registered
2006 HOGBACK RD STE 5A
ANN ARBOR, MI 48105
Washtenaw County (734) 263-2417
ELIE JOSEPH CHIDIAC M.D.
Anesthesiology
2006 HOGBACK RD STE 5A
ANN ARBOR, MI 48105
Washtenaw County (734) 263-2417
JILLIAN MOURANIE CHAMPINE CRNA
Nurse Anesthetist, Certified Registered
2006 HOGBACK RD STE 5A
ANN ARBOR, MI 48105
Washtenaw County (734) 263-2417
DR. DONALD NEIRINK M.D.
Anesthesiology
2006 HOGBACK RD STE 5A
ANN ARBOR, MI 48105
Washtenaw County (734) 263-2417
DR. BRANDON GAETINO MD
Anesthesiology (Pain Medicine)
2006 HOGBACK RD STE 5A
ANN ARBOR, MI 48105
Washtenaw County (734) 263-2395
DR. COLIN DURAND BOETTCHER M.D.
Anesthesiology
2006 HOGBACK RD STE 5A
ANN ARBOR, MI 48105
Washtenaw County (734) 263-2400

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 Sean Vanderwaal's NPI number?

The NPI number for Sean Vanderwaal is 1932744091. It was assigned to this individual provider in the NPPES registry on November 13, 2019.

Where is Sean Vanderwaal located?

Sean Vanderwaal practices at 2006 Hogback Rd Ste 5A, Ann Arbor, MI 48105. The listed phone number is (734) 263-2417.

What is Sean Vanderwaal's specialty?

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

Is Sean Vanderwaal enrolled in Medicare?

Yes. Sean Vanderwaal is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sean Vanderwaal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Vanderwaal reassigns Medicare benefits to 3 organizations: Anesthesia Associates Of Ann Arbor, PLLC (Westland, MI), Promedica Central Physicians (Toledo, OH) and Northstar Anesthesia Of Michigan III PLLC (Irving, TX). 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 Sean Vanderwaal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Vanderwaal accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource, Paramount and Priority Health list Sean Vanderwaal 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 Sean Vanderwaal affiliated with any hospitals?

According to CMS data, Sean Vanderwaal is affiliated with Beaumont Hospital Royal Oak, Garden City Hospital and Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Sean Vanderwaal was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.