NPIMap

Individual provider Active NPI

Frank R Micielli, CRNA

  • Certified Registered Nurse Anesthetist
  • Brownsville, TX
National Provider Identifier
1104856038
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
673693 Issued in TX
Practice address
1040 W Jefferson St
Brownsville, TX 78520-6338
Phone
(956) 698-5400
Fax
(956) 698-5713
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 673693 TX Primary

Addresses

Primary practice location

1040 W Jefferson St
Brownsville, TX 78520-6338

Mailing address

8249 Ellis Creek Dr
Clarkston, MI 48348-2621
Phone (248) 821-1661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Tyler Health Systems Past Accepting new patients
Harlingen Anesthesia Associates Nurse Anesthetist, Certified Registered PastSince Feb 1, 2003 Accepting new patients
Saint Joseph Mercy Livingston Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
Henry Ford Health River District Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
Harlingen Anesthesia Associates Past Accepting new patients
Mercy Tyler Hospital Past Accepting new patients
American Anesthesiology Associates of Michigan, PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104856038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8249 ELLIS CREEK DR",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483482621",
            "telephone_number": "248-821-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 W JEFFERSON ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785206338",
            "telephone_number": "956-698-5400",
            "fax_number": "956-698-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICIELLI",
        "first_name": "FRANK",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "673693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.