Matthew Charles Abrahamson, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Ann Arbor, MI
NPI 1124557343 · NPPES record last updated Dec 3, 2018
Key facts
- NPI
- 1124557343
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 4704277960 (MI)
- Practice address
- 1500 E Medical Center Dr
1H247 University Hospital
Ann Arbor, MI 48109-5048 - Phone
- (734) 936-4280
- NPI assigned
- Jun 9, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regents of the University of Michigan
Practice addresses (Care Compare)
1500 E Medical Ctr Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-4000
4270 Plymouth Rd
Ann Arbor, MI 48109-2700
Phone (734) 936-4000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170905000992 | MI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8820361371 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3201009728 | MI | MD | Paramedic |
| 4704277960 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Area Anesthesia PC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| W.a. Foote Memorial Hospital, Inc | Current |
Accepting new patients | |
| Regents of the University of Michigan | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Regents of the University of Michigan | Current |
Accepting new patients | |
| Wa Foote Memorial Hospital, Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
4270 Plymouth Rd
Ann Arbor, MI 48109
Phone (734) 232-3000
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
1500 E Medical Center Dr
#1H247
Ann Arbor, MI 48109
Phone (734) 936-4280
205 S East Ave
Jackson, MI 49201
Phone (517) 205-2103
2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 3201009728 | MI | |
| Registered Nurse | 163W00000X | 4704277960 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704277960 | MI | Yes |
Addresses
Primary practice location
1500 E Medical Center Dr
1H247 University Hospital
Ann Arbor, MI 48109-5048
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other providers in Ann Arbor, MI
- Emily Marie Abraham
- Hannah Abraham
- Karli Joy Abraham
- Kristen Marie Abraham
- Shaina Ann Abraham
- Lauren Abramowicz
- Alex Abramson
- Hailey Abro
- Yazan Abu Omar
- Jamileh Abu-Ali
All providers in Ann Arbor, MI · Certified Registered Nurse Anesthetist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.