Active NPI
Bernard J Betka, CRNA
- Certified Registered Nurse Anesthetist
- Midland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704177764
- Practice address
- 4005 Orchard Dr
Midland, MI 48670-0001 - Phone
- (989) 839-3000
- NPI assigned
- Oct 13, 2006
- 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 | 4704177764 | MI | Primary |
Addresses
Primary practice location
4005 Orchard Dr
Midland, MI 48670-0001
Mailing address
1302 E Illinois CT
Mt Pleasant, MI 48858-2967
Phone (989) 775-6499
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BB177764 | Other | MI | BLUE SHIELD |
| 4397030 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4851 E Pickard St
Mt Pleasant, MI 48858-2029
Phone (989) 546-2170
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grayling Anesthesia Associates PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Midland Pathology Associates, PC | Current | Accepting new patients | |
| Northstar Anesthesia of Michigan II PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317
3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063
1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033
4005 Orch Dr
Midland, MI 48670
Phone (989) 839-3100
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
4851 E Pickard St
Mt Pleasant, MI 48858
Phone (989) 772-3009
26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500
135 S Prospect St
Ypsilanti, MI 48198
Phone (734) 547-1060
L4355
Columbus, OH 43260
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.
-
- Anesthesiology Physician
- Irving, TX
- NPI 1437268026
MI, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Grayling, MI
- NPI 1710313648
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Midland, MI
- NPI 1770668683
Nurse Anesthetist, Certified Registered
-
- Anatomic Pathology & Clinical Pathology Physician
- Midland, MI
- NPI 1487747473
-
- Anesthesiology Physician
- Midland, MI
- NPI 1649010455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1063502797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 E ILLINOIS CT",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488582967",
"telephone_number": "989-775-6499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4005 ORCHARD DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486700001",
"telephone_number": "989-839-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETKA",
"first_name": "BERNARD",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704177764",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "BB177764",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4397030",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.