Active NPI
Aaron Michael Mojica, CRNA
- Certified Registered Nurse Anesthetist
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 138172
- Practice address
- 615 N Michigan St
South Bend, IN 46601-1033 - Phone
- (574) 612-2476
- NPI assigned
- Feb 15, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28210346A | IN | |
| Certified Registered Nurse Anesthetist | 367500000X | 138172 | IN | Primary |
Addresses
Primary practice location
615 N Michigan St
South Bend, IN 46601-1033
Mailing address
606 W Brown Ave
Mishawaka, IN 46545-8826
Phone (574) 612-2476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2520 Elisha Ave
Zion, IL 60099-2676
Phone (847) 872-4561
Hospital & facility affiliations
- Midwestern Region Med Center, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.76 of 100
- Quality
- 62.07
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.5 of 100
- Quality
- 74.24
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.56
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138172 | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| City of Hope Medical Group of Illinois PLLC | Current | Accepting new patients | |
| Associated Anesthesiologists of Fort Wayne PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northern Indiana Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| 360 Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358
4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102
3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200
2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183
1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600
4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861
6435 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-7875
10315 Dawsons Creek Blvd
Ste Ab
Fort Wayne, IN 46825
Phone (219) 436-7875
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
7952 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2999
53830 Generations Dr
South Bend, IN 46635
Phone (574) 217-0174
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.
-
- Specialist
- Zion, IL
- NPI 1548258072
-
- Anesthesiology Physician
- Fort Wayne, IN
- NPI 1538159140
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- South Bend, IN
- NPI 1033891510
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Wilkes Barre, PA
- NPI 1811637366
IL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
IN, Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Zion, IL
- NPI 1811984388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1003561374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 W BROWN AVE",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465458826",
"telephone_number": "574-612-2476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 N MICHIGAN ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011033",
"telephone_number": "574-612-2476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOJICA",
"first_name": "AARON",
"middle_name": "MICHAEL",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-15",
"last_updated": "2023-09-19",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28210346A",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "138172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.