Active NPI
Michael Simons, CRNA
- Certified Registered Nurse Anesthetist
- Corning, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 630215
- Practice address
- 176 Denison Pkwy E
Corning, NY 14830-2814 - Phone
- (607) 937-7278
- NPI assigned
- Mar 31, 2014
- 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 | RN632747 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 630215 | NY | Primary |
Addresses
Primary practice location
176 Denison Pkwy E
Corning, NY 14830-2814
Mailing address
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 624-6000
1676 Sunset Ave
Utica, NY 13502-5416
Phone (315) 625-6000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.28 of 100
- Quality
- 75.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.26
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 630215 | NY | MD | Certified Registered Nurse Anesthetist |
| RN632747 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| MVHS Inc | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| MVHS Inc | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients |
Locations
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480
130 Center Way
Corning, NY 14830
Phone (607) 936-9971
460 Andes Rd
Delhi, NY 13753
Phone (607) 746-0300
1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222
2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100
1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567
130 North St
Walton, NY 13856
Phone (607) 865-6541
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Utica, NY
- NPI 1770690737
-
- Multi-Specialty Clinic/Center
- Corning, NY
- NPI 1134178635
-
- Multi-Specialty Clinic/Center
- Cooperstown, NY
- NPI 1083664221
-
- Family Medicine Physician
- Athens, PA
- NPI 1962451153
-
- Specialty Pharmacy
- Oneonta, NY
- NPI 1174419196
-
- Community/Retail Pharmacy
- Utica, NY
- NPI 1306573753
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
-
- Anesthesiology Physician
- Sayre, PA
- NPI 1376594176
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Utica, NY
- NPI 1205877172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1063830792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUTHRIE SQ",
"city": "SAYRE",
"state": "PA",
"postal_code": "188401625",
"telephone_number": "570-888-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 DENISON PKWY E",
"city": "CORNING",
"state": "NY",
"postal_code": "148302814",
"telephone_number": "607-937-7278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONS",
"first_name": "MICHAEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-31",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN632747",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "630215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corning, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.