Active NPI
Michael Mielniczek, CRNA
- Certified Registered Nurse Anesthetist
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP61080711
- Practice address
- 1959 NE Pacific St
Seattle, WA 98195-5400 - Phone
- (206) 520-5000
- NPI assigned
- Jan 29, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP61080711 | WA | Primary |
Addresses
Primary practice location
1959 NE Pacific St
Seattle, WA 98195-5400
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Phone (206) 520-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013471663 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1321 Colby Ave
Everett, WA 98201-1665
Phone (914) 491-9495
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61080711 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Center for Pain Management LLC | Current | Accepting new patients | |
| Washington Center for Pain Management, LLC | Current | Accepting new patients | |
| Washington Center for Pain Management LLC | Current | Accepting new patients | |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Providence Wa Anesthesia Services, P.C. | Current | Accepting new patients | |
| Valley Regional Anesthesia Associates Inc | Current | Accepting new patients | |
| Washington Center for Pain Management LLC | Current | Accepting new patients | |
| Sports and Spine | Past | Accepting new patients |
Locations
1900 116th Ave NE
Ste 201
Bellevue, WA 98004
Phone (425) 250-9999
1900 116th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 753-3174
21600 Highway 99
Ste 260
Edmonds, WA 98026
Phone (425) 774-2650
1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413
11800 NE 128th St
Ste 100
Kirkland, WA 98034
Phone (425) 899-4500
501 N 34th St
Ste 101
Seattle, WA 98103
Phone (206) 838-1777
11027 Meridian Ave N
Ste 100
Seattle, WA 98133
Phone (206) 365-4492
1455 NW Leary Way
Ste 300
Seattle, WA 98107
Phone (206) 784-3350
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ACBEAD/Endpoint/ACBEAD
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Everett, WA
- NPI 1669615894
-
- Clinic/Center
- Puyallup, WA
- NPI 1194381905
-
- Ambulatory Surgical Clinic/Center
- Bellevue, WA
- NPI 1578833489
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered, WA
-
- Certified Registered Nurse Anesthetist
- Kirkland, WA
- NPI 1962935197
-
- Interventional Pain Medicine Physician
- Everett, WA
- NPI 1114528056
-
- Interventional Pain Medicine Physician
- Olympia, WA
- NPI 1871260760
-
- Clinic/Center
- Bellevue, WA
- NPI 1598255903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602460800000",
"number": "1013471663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50095",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981455095",
"telephone_number": "206-520-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981955400",
"telephone_number": "206-520-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIELNICZEK",
"first_name": "MICHAEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-29",
"last_updated": "2020-10-12",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP61080711",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013471663",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.