Active NPI
Michael James Petsch, CRNA
- Certified Registered Nurse Anesthetist
- Niagara Falls, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP116620
- Practice address
- 621 10TH St
Niagara Falls, NY 14301-1813 - Phone
- (716) 278-4000
- NPI assigned
- May 25, 2006
- Last updated
- May 21, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 498634 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | AP116620 | TX | Primary |
Addresses
Primary practice location
621 10TH St
Niagara Falls, NY 14301-1813
Mailing address
PO Box 845347
Dallas, TX 75284-5347
Phone (214) 648-7833
Other practice location 1
5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone (214) 648-7833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Shult Dr
Columbus, TX 78934-3016
Phone (979) 732-2371
207 Foote Ave
Jamestown, NY 14701-7077
Phone (716) 487-0141
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.09 of 100
- Quality
- 97.07
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Anesthesia of New York, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Quality Medical Management Corp | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Allen Anesthesia Associates | Current | Accepting new patients | |
| Great Lakes Anesthesiology, PC | Current | Accepting new patients | |
| Syracuse Gastroenterological Associates PC | Current | Accepting new patients | |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Syracuse Gastroenterological Associates.PC | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Current | Accepting new patients | |
| Upstate New York Medical Professional Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| NTX Anesthesiology Consultants PLLC | Current | Accepting new patients | |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Syracuse, PC | Past | Accepting new patients | |
| Westfield Memorial Hospital, Inc. | Past | Accepting new patients |
Locations (25 of 28)
7 Southwoods Blvd
Ste 4
Albany, NY 12211
11 E Fordham Rd
Ste A
Bronx, NY 10468
Phone (631) 446-1190
3095 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 896-2245
529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797
5000 Campuswood Dr
Ste 100
East Syracuse, NY 13057
Phone (315) 234-6687
5000 Campuswood Dr
Ste 200
East Syracuse, NY 13057
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
1324 Motor Pkwy
Ste 101
Islandia, NY 11749
Phone (516) 850-8143
16203 Jamaica Ave
Ste 200
Jamaica, NY 11432
Phone (347) 429-7699
207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141
7209 Buckley Rd
Liverpool, NY 13088
Phone (315) 299-5451
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
621 10th St
North Falls, NY 14301
Phone (716) 278-4000
515 Main St
Olean, NY 14760
Phone (716) 373-2600
2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555
1105 Central Expy N
Ste 210
Allen, TX 75013
Phone (972) 747-4646
906 W McDermott Dr
Allen, TX 75013
Phone (918) 812-4755
1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671
4401 Coit Rd
Ste 100
Frisco, TX 75035
Phone (214) 619-0120
180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671
4510 Medical Center Dr
Ste 211
McKinney, TX 75069
Phone (469) 541-1600
2704 N Galloway Ave
Ste 102
Mesquite, TX 75150
Phone (972) 961-7171
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Saranac Lake, NY
- NPI 1063658961
Nurse Anesthetist, Certified Registered
-
- Specialist
- Buffalo, NY
- NPI 1306852181
-
- Certified Registered Nurse Anesthetist
- Port Jefferson Station, NY
- NPI 1114502606
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- East Syracuse, NY
- NPI 1619947843
-
- Anesthesiology Physician
- Warsaw, NY
- NPI 1801553128
Nurse Anesthetist, Certified Registered
-
- Specialist
- McKinney, TX
- NPI 1265469357
-
- Certified Registered Nurse Anesthetist
- Keller, TX
- NPI 1588931174
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Waxahachie, TX
- NPI 1912410739
-
dba YPS Anesthesia Services
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
Nurse Anesthetist, Certified Registered, TX
-
- Anesthesiology Physician
- Southlake, TX
- NPI 1144673468
-
- Certified Registered Nurse Anesthetist
- Nacogdoches, TX
- NPI 1932635752
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Columbus, TX
- NPI 1740238641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1033165626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 845347",
"city": "DALLAS",
"state": "TX",
"postal_code": "752845347",
"telephone_number": "214-648-7833",
"fax_number": "214-648-6799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 10TH ST",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143011813",
"telephone_number": "716-278-4000"
}
],
"practiceLocations": [
{
"address_1": "5323 Harry Hines Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "753907201",
"country_code": "US",
"telephone_number": "214-648-7833",
"fax_number": "214-648-6799",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETSCH",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "498634",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP116620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niagara Falls, NY
- Kashif Pervez
- Tammy Pesaresi, NP
- Casandra Catrice Peterson, LPN
- James Edward Peterson Sr., B.A.
- Anne Elizabeth Petrozzi-Burgess, MS ED. CCC/SLP
- Christine Renee Pettapiece, PHARMD
- Bianca Pham
- Pharmacy Operations of New York Inc (Medicine Shoppe)
- Dawn Cheryl Phillips, LMSW
- PHS NFM, LLC (Parkview Rx Niagara Falls)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.