MR. ANDREW JOSEPH PROCTOR
NPI 1952841637
Nurse Anesthetist, Certified Registered in Canton, MI

Active since March 01, 2017
800 PHEASANT WOODS DRIVE, CANTON, MI 48188(734) 812-1311 Get Directions Write a Review

NPPES record last updated: March 1, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Andrew Joseph Proctor NPPES

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

MR. ANDREW JOSEPH PROCTOR (NPI 1952841637) is an individual nurse anesthetist, certified registered in Canton, Michigan, licensed in Michigan (4704267973) and active in the NPI registry since March 2017. He is affiliated with Trinity Health Ann Arbor Hospital and is a graduate of Other (2016).

NPPES Registry Identity

NPI1952841637
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. ANDREW JOSEPH PROCTOR
Location Address800 PHEASANT WOODS DRIVECanton, MI 48188-5224
Mailing Address800 Pheasant Woods DrCanton, MI 48188-5224 · (734) 812-1311
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 1, 2017
✔ NPI 1952841637 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 · 4704267973
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.
800 PHEASANT WOODS DRIVE, Canton, MI 48188

Other Names 1

Other Name (5)Mr. Andrew Joseph Proctor Crna

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Andrew Joseph Proctor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486931078
PECOS Enrollment IDI20170509001103

Medicare Billing Reassignments

4

Medicare enrollment records show Andrew Proctor reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
5301 E HURON RIVER DR
Ypsilanti, MI 48197
  • Reassigned Medicare billing, Michigan enrollment
  • 151 clinicians in this Medicare group
Gastroenterology
5300 ELLIOTT DR
Ypsilanti, MI 48197
  • Reassigned Medicare billing, Michigan enrollment
  • 123 clinicians in this Medicare group
Ambulatory Surgical
5300 ELLIOTT DR
Ypsilanti, MI 48197
  • Reassigned Medicare billing, Michigan enrollment
  • 35 clinicians in this Medicare group
Pain Medicine
6225 N STATE HIGHWAY 161 STE 200
Irving, TX 75038
  • Reassigned Medicare billing, Michigan enrollment
  • 905 clinicians in this Medicare group

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

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

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230156
Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County
Emergency services Birthing friendly

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 Andrew Proctor's NPI number?

The NPI number for Andrew Proctor is 1952841637. It was assigned to this individual provider in the NPPES registry on March 1, 2017. The provider is also known as Mr. Andrew Joseph Proctor Crna.

Where is Andrew Proctor located?

Andrew Proctor practices at 800 Pheasant Woods Drive, Canton, MI 48188. The listed phone number is (734) 812-1311.

What is Andrew Proctor's specialty?

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

Is Andrew Proctor enrolled in Medicare?

Yes. Andrew Proctor is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrew Proctor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Proctor reassigns Medicare benefits to 4 organizations: Sjmhs Anesthesia Services (Ypsilanti, MI), Huron Gastroenterology Associates PC (Ypsilanti, MI), Center For Digestive Care LLC (Ypsilanti, MI) 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 Andrew Proctor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Proctor accept?

Health plans from Priority Health list Andrew Proctor 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 Andrew Proctor affiliated with any hospitals?

According to CMS data, Andrew Proctor is affiliated with Trinity Health Ann Arbor Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Proctor was last updated on March 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.