Active NPI
Mikel K Foster, CRNA
- Certified Registered Nurse Anesthetist
- Atlantic Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN180100
- Practice address
- 1660 Sea Oats Dr
Atlantic Beach, FL 32233-5836 - Phone
- (912) 660-3512
- NPI assigned
- Aug 31, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 31758 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | RN180100 | GA | Primary |
Addresses
Primary practice location
1660 Sea Oats Dr
Atlantic Beach, FL 32233-5836
Mailing address
1660 Sea Oats Dr
Atlantic Beach, FL 32233-5836
Phone (912) 660-3512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070611000464 | FL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7517065824 | Reassigns benefits to 1 organization |
| I20220829001846 | TN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7517065824 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Covenant Anesthesia Group PC
Practice addresses (Care Compare)
1901 Clinch Ave
Knoxville, TN 37916-2307
Phone (865) 331-1111
Hospital & facility affiliations
- Parkwest Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31758 | TN | MD | Emergency Medicine Physician |
| RN180100 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sheridan Healthcorp, Inc. | Current | Accepting new patients | |
| Covenant Anesthesia Group, PC | Current | Accepting new patients | |
| American Anesthesiology of Tennessee, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Current | Accepting new patients | |
| Sheridan Healthcorp, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Jacksonville Anesthesia Corporation Inc | Past | Accepting new patients | |
| Excel Anesthesia Consultants LLC | Past | Accepting new patients | |
| Sarasota Anesthesiologists, PA | Past | Accepting new patients | |
| Memorial Health Anesthetists | Past | Accepting new patients |
Locations
401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434
1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
Dept 888089
Knoxville, TN 37995
1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111
990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000
Organizations & group practices 10
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.
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Nurse Anesthetist, Certified Registered
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- Anesthesiology Physician
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- NPI 1578429460
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1245279777
Nurse Anesthetist, Certified Registered
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- Anesthesiology Physician
- Jacksonville, FL
- NPI 1760684492
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1033163738
-
- Anesthesiology Physician
- Sarasota, FL
- NPI 1710917976
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1770664617
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": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1124130711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 SEA OATS DR",
"city": "ATLANTIC BEACH",
"state": "FL",
"postal_code": "322335836",
"telephone_number": "912-660-3512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 SEA OATS DR",
"city": "ATLANTIC BEACH",
"state": "FL",
"postal_code": "322335836",
"telephone_number": "912-660-3512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "MIKEL",
"middle_name": "K",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "31758",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN180100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlantic Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.