Active NPI
Gregory P Humbracht, CRNA
- Certified Registered Nurse Anesthetist
- Grass Lake, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704115485
- Practice address
- 2980 Sarossy LK
Grass Lake, MI 49240-9455 - Phone
- (269) 251-2117
- NPI assigned
- Sep 26, 2006
- Last updated
- Dec 1, 2016
- 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 | 4704115485 | MI | Primary |
Addresses
Primary practice location
2980 Sarossy LK
Grass Lake, MI 49240-9455
Mailing address
2980 Sarossy LK
Grass Lake, MI 49240-9455
Phone (269) 251-2117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4635722 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asa Staffing Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Michigan II PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Essential Anesthesia Services, PLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sparrow Carson Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Northeast Anesthesia Partners, Inc. | Past | Accepting new patients | |
| Beaufort County Memorial Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Beaufort County Memorial Hospital | Past | Accepting new patients | |
| Mymichigan Medical Center Tawas | Past | Accepting new patients |
Locations
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
748 S Main St
Cheboygan, MI 49721
Phone (231) 627-5601
274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400
2775 Blake Rd
Jackson, MI 49201
Phone (517) 787-2906
1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033
26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500
264 W Maple Rd
Ste 100
Troy, MI 48084
Phone (248) 269-5594
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Rochester, MI
- NPI 1114378981
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Troy, MI
- NPI 1932482098
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Irving, TX
- NPI 1437268026
MI, Nurse Anesthetist, Certified Registered
-
dba Ascension St Joseph Hospital Huron Family Medicine
- Rural Health Clinic/Center
- Tawas City, MI
- NPI 1952399743
-
dba University of Michigan Health-Sparrow
- Anesthesiology Physician
- Carson City, MI
- NPI 1396789798
Nurse Anesthetist, Certified Registered
-
dba Beaufort Hospital CRNA Services
- Certified Registered Nurse Anesthetist
- Beaufort, SC
- NPI 1467423178
Nurse Anesthetist, Certified Registered
-
dba Beaufort Memorial Emergency Medicine Physicians
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1871335018
-
- Anesthesiology Physician
- Fort Wayne, IN
- NPI 1437111879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480550400000",
"number": "1124129374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2980 SAROSSY LK",
"city": "GRASS LAKE",
"state": "MI",
"postal_code": "492409455",
"telephone_number": "269-251-2117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2980 SAROSSY LK",
"city": "GRASS LAKE",
"state": "MI",
"postal_code": "492409455",
"telephone_number": "269-251-2117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMBRACHT",
"first_name": "GREGORY",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2016-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704115485",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4635722",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grass Lake, MI
- Lori A Healy, MA, LLP, CAADC
- Aydrianne Elizabeth Hofschild, MT-BC
- Madison Holcomb, R.N.
- Holly Gist-Richer LMSW PLLC
- Patty J Hopkins, FNP
- Indispensable Health (Grass Lake Community Pharmacy)
- Indispensable Health (Grass Lake Community Pharmacy)
- Indispensable Health (Indispensable Central Services)
- Sydney Lynn Irwin, MSN, APRN, FNP-C
- Jackson's Preferred Rehab
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.