Michael D Cragun, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Tremonton, UT
NPI 1164528832 · NPPES record last updated Jul 23, 2009
Key facts
- NPI
- 1164528832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 284836-4406 (UT)
- Practice address
- 905 N 1000 W
Tremonton, UT 84337-9356 - Phone
- (435) 452-2238
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Utah Gastroenterology LLC
Practice addresses (Care Compare)
1380 E Medical Ctr Dr
St George, UT 84790-2123
Phone (435) 251-1000
6360 S 3000
Suite 310
Salt Lake City, UT 84121-6939
Phone (801) 944-3188
905 N 1000
Tremonton, UT 84337-9356
Phone (435) 207-4500
Hospital & facility affiliations
- Bear River Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.45 of 100
- Quality
- 47.08
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 75.26
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040625000989 | UT | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1052397403 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Utah Gastroenterology | Current |
Accepting new patients | |
| Utah Gastroenterology LLC | Current | Accepting new patients | |
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| Brigham Anesthesia, LLC | Current |
Accepting new patients | |
| Utah Gastroenterology LLC | Current | Accepting new patients | |
| Greenfield Medical Group | Past | Accepting new patients |
Locations
170 N 1100 E
American Fork, UT 84003
Phone (801) 714-6570
620 Medical Dr
Ste 205
Bountiful, UT 84010
Phone (801) 298-0057
6360 S 3000 E
Ste 310
Salt Lake Cty, UT 84121
Phone (801) 944-3144
1187 E 3900 S
Salt Lake Cty, UT 84124
Phone (801) 263-3041
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
368 E Riverside Dr
Ste A
St George, UT 84790
Phone (435) 673-1149
905 N 1000 W
Tremonton, UT 84337
Phone (435) 207-4500
Interoperability endpoints
- https://4af267b3-0b17-4e37-b82c-3c19f9bce5de.gastro.prod.fhir.ema-api.com/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 284836-4406 | UT | Yes |
Addresses
Primary practice location
905 N 1000 W
Tremonton, UT 84337-9356
Mailing address
905 N 1000 W
Tremonton, UT 84337-9356
Phone (435) 452-2238
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107027335101 | Other | UT | IHC |
| 28483644000001 | Other | UT | BCBS |
| TPRA10379 | Other | UT | MOLINA |
| 77633 | Other | UT | PEHP |
| 55469 | Other | UT | HEALTHY U |
| 838734 | Other | UT | DESERET MUTUAL |
| 870666269MCR | Other | UT | EDUCATORS MUTUAL |
| QM0000054865 | Other | UT | ALTIUS |
Other providers in Tremonton, UT
- Cabe Riso Clark
- Christie Lee Colvin
- Community Health Centers, Inc.
- Cook Foot and Ankle Specialists LLC
- Jay E Cottle
- Crawford Physical Therapy
- Perry Raymond Crawford
- Giovanni Rafael Crosland
- Gabriel T Dickes
- Drgabe PLLC
All providers in Tremonton, UT · Certified Registered Nurse Anesthetist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2009. 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.