Individual provider Active NPI

Micheal Hancock, CRNA

  • Certified Registered Nurse Anesthetist
  • Winchester, TN
National Provider Identifier
1043402043
Registry record updated Jun 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
13002 Issued in TN
Practice address
185 Hospital Rd
Winchester, TN 37398-2404
Phone
(931) 962-4061
Fax
(931) 962-3343
NPI assigned
Aug 14, 2007
Last updated
Jun 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 13002 TN Primary

Addresses

Primary practice location

185 Hospital Rd
Winchester, TN 37398-2404

Mailing address

66 Sunrise Park
Winchester, TN 37398-2345
Phone (931) 962-4061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080207000213 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103909643 Reassigns benefits to 3 organizations
I20201209003294 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103909643 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physynergy LLCGroup PAC ID 6204081292, 51 clinicians
Highlands Anesthesia ServicesGroup PAC ID 3678941424, 12 clinicians

Practice addresses (Care Compare)

1 Hospital Dr SW
Huntsville, AL 35801-6455
Phone (256) 429-4000

380 Woods Cove Rd
Scottsboro, AL 35768-2428
Phone (256) 259-4444

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Physynergy, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2020 Accepting new patients
Physynergy, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2020 Accepting new patients
Highlands Anesthesia Services Nurse Anesthetist, Certified Registered CurrentSince Aug 24, 2022 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Dec 28, 2007 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2014 Accepting new patients
Pulaski Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients

Locations

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

460 Lanier Rd
Madison, AL 35758
Phone (205) 558-3200

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

421 S Main St
Crossville, TN 38555
Phone (931) 260-1465

501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

1265 E College St
Pulaski, TN 38478
Phone (931) 363-7531

185 Hospital Rd
Winchester, TN 37398
Phone (931) 962-4061

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497916800000",
    "number": "1043402043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 SUNRISE PARK",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982345",
            "telephone_number": "931-962-4061",
            "fax_number": "931-962-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 HOSPITAL RD",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982404",
            "telephone_number": "931-962-4061",
            "fax_number": "931-962-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "MICHEAL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2017-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "13002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.