BRIAN CLARK CRNA
NPI 1962477794
Nurse Anesthetist, Certified Registered in Kalamazoo, MI
About Brian Clark Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIAN CLARK CRNA (NPI 1962477794) is an individual nurse anesthetist, certified registered in Kalamazoo, Michigan, licensed in Michigan (4704219567) and active in the NPI registry since February 2006. He is affiliated with Oaklawn Hospital and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Brian Clark 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.
Medicare Billing Reassignments
2Medicare enrollment records show Brian Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Battle Creek, MI 49017
- Reassigned Medicare billing, Michigan enrollment
- 9 clinicians in this Medicare group
Marshall, MI 49068
- Reassigned Medicare billing, Michigan enrollment
- 13 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Oaklawn Hospital
Acute Care Hospitals · Marshall, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49008 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
KALAMAZOO, MI 49008
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 Brian Clark's NPI number?
The NPI number for Brian Clark is 1962477794. It was assigned to this individual provider in the NPPES registry on February 23, 2006.
Where is Brian Clark located?
Brian Clark practices at 900 Peeler St, Kalamazoo, MI 49008. The listed phone number is (269) 345-8618.
What is Brian Clark's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Brian Clark enrolled in Medicare?
Yes. Brian Clark 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 Brian Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brian Clark reassigns Medicare benefits to 2 organizations: Anesthesia Associates Of Battle Creek, PC (Battle Creek, MI) and Ella E M Brown Charitable Circle (Marshall, MI). 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 Brian Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Brian Clark affiliated with any hospitals?
According to CMS data, Brian Clark is affiliated with Oaklawn Hospital.
When was this NPI record last updated?
The NPPES record for Brian Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Brian Clark, CRNA · NPI 1962477794
Nurse Anesthetist, Certified Registered physician in Kalamazoo, Michigan. Individual provider, active in the CMS NPPES registry since February 23, 2006.
## Identity
- **NPI:** 1962477794 (Entity type: Individual)
- **Enumerated:** February 23, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704219567 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 900 PEELER ST, Kalamazoo, MI 49008-2380
- **Phone:** (269) 345-8618 · **Fax:** (269) 345-1508
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Anesthesia Associates Of Battle Creek, PC (NPI 1801835731, Battle Creek, MI); Ella E M Brown Charitable Circle (NPI 1174672521, Marshall, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicaid 4757897 (MI); Medicare ID-Type Unspecified C96074123 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1962477794) · Data from the CMS NPPES public registry.