Active NPI
Jeffrey J Michel, CRNA
- Certified Registered Nurse Anesthetist
- Brookhaven, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 862871
- Practice address
- 427 Highway 51 N
Brookhaven, MS 39601-2350 - Phone
- (660) 826-5960
- Fax
- (660) 826-4852
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
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
- Brookhaven, MS
- NPI 1043245368
MS, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- McComb, MS
- NPI 1619916533
MS, Nurse Anesthetist, Certified Registered
-
- Durable Medical Equipment & Medical Supplies
- Brookhaven, MS
- NPI 1881476364
-
- Rural Health Clinic/Center
- Brookhaven, MS
- NPI 1003680729
-
- Rural Health Clinic/Center
- Brookhaven, MS
- NPI 1013781731
-
- Rural Health Clinic/Center
- Brookhaven, MS
- NPI 1275307902
-
- General Acute Care Hospital
- Brookhaven, MS
- NPI 1972503464
-
- Rehabilitation Hospital Unit
- Texarkana, TX
- NPI 1467453902
-
- General Practice Physician
- Texarkana, TX
- NPI 1740603521
-
- Specialist
- Natchez, MS
- NPI 1295879203
-
- Anesthesiology Physician
- Selma, AL
- NPI 1114088846
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- McComb, MS
- NPI 1407805971
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McComb Anesthesia Associates, LLPKings Daughters Medical Center
Practice addresses (Care Compare)
215 Marion Ave
McComb, MS 39648-2705
Phone (601) 249-5500
427 Hwy 51 N
Brookhaven, MS 39601-2350
Phone (601) 833-6011
Hospital & facility affiliations
- King'S Daughters Medical Center-Brookhaven
- Southwest Ms Regional Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TX
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050801000719 | MS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1759319775 | Reassigns benefits to 4 organizations |
| I20231113000278 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1759319775 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1074860 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perioperative Services of Mississippi, LLC | Current | Accepting new patients | |
| Kings Daughters Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Christus Health Ark-la-Tex | Current | Accepting new patients | |
| McComb Anesthesia Associates, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Christus Health Ark-la-Tex | Current | Accepting new patients | |
| King'S Daughters Medical Center | Current | Accepting new patients | |
| Physicians Anesthesia Group, P.a. | Current | Accepting new patients | |
| Christus Health Ark-la-Tex | Current | Accepting new patients | |
| Natchez Regional Medical Center | Past | Accepting new patients | |
| Vaughan Regional Medical Center LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500
427 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-6011
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
971 Lakeland Dr
Jackson, MS 39216
Phone (601) 939-5922
215 Marion Ave
McComb, MS 39648
Phone (601) 249-1180
2604 Saint Michael Dr
Ste 239
Texarkana, TX 75503
Phone (903) 614-5330
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 862871 | MS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
427 Highway 51 N
Brookhaven, MS 39601-2350
Mailing address
PO Box 1547
Sedalia, MO 65302-1547
Phone (660) 826-5960
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00124980 | Medicaid | MS |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 9, 2017.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510185600000",
"number": "1023069333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1547",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653021547",
"telephone_number": "660-826-5960",
"fax_number": "660-826-4852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 HIGHWAY 51 N",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "396012350",
"telephone_number": "660-826-5960",
"fax_number": "660-826-4852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHEL",
"first_name": "JEFFREY",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2017-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "862871",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00124980",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookhaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.