Active NPI
Nicholas Scott Riehl, CRNA
- Certified Registered Nurse Anesthetist
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704292833
- Practice address
- 2845 Greenbrier Rd
Green Bay, WI 54311 - Phone
- (920) 288-3388
- Fax
- (920) 288-3370
- NPI assigned
- Nov 30, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704292833 | MI | |
| Registered Nurse | 163W00000X | 9382735 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 245396 | WI | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704292833 | MI | Primary |
Addresses
Primary practice location
2845 Greenbrier Rd
Green Bay, WI 54311
Mailing address
14700 Lake Shore Dr
Charlevoix, MI 49720-1931
Other practice location 1
580 W College Ave
Marquette, MI 49855-2736
Phone (906) 228-9440
Other practice location 2
14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-4024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14700 Lake Shore Dr
Charlevoix, MI 49720-1931
Phone (231) 547-4024
400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-3876
Hospital & facility affiliations
- Charlevoix Area Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9382735 | FL | MD | Registered Nurse |
| 4704292833 | MI | MD | Certified Registered Nurse Anesthetist |
| 245396 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Healthcare Cadillac | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Healthcare Charlevoix Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Healthcare Charlevoix Hospital | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Healthcare Charlevoix Hospital | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Healthcare Cadillac | Current | Accepting new patients | |
| Munson Healthcare Charlevoix Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Healthcare Cadillac | Past | Accepting new patients |
Locations
3775 Momentum Pl
Chicago, IL 60689
400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200
14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840
825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100
Organizations & group practices 11
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.
-
- Anesthesiology Physician
- Cadillac, MI
- NPI 1871991596
Nurse Anesthetist, Certified Registered
-
- Pediatrics Physician
- Charlevoix, MI
- NPI 1326124058
-
- Certified Registered Nurse Anesthetist
- Gaylord, MI
- NPI 1376568865
Nurse Anesthetist, Certified Registered
-
- Psychiatry Physician
- Traverse City, MI
- NPI 1720955081
-
- Certified Registered Nurse Anesthetist
- Charlevoix, MI
- NPI 1063598845
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Charlevoix, MI
- NPI 1417033143
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Charlevoix, MI
- NPI 1972367043
-
- Anesthesiology Physician
- Gaylord, MI
- NPI 1518982073
-
- Plastic Surgery Physician
- Petoskey, MI
- NPI 1770374530
-
- General Practice Physician
- Gaylord, MI
- NPI 1821064643
-
- Surgery Physician
- Cadillac, MI
- NPI 1336547041
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Charlevoix, MI
- NPI 1346260692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1194268656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14700 LAKE SHORE DR",
"city": "CHARLEVOIX",
"state": "MI",
"postal_code": "497201931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2845 GREENBRIER RD",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "54311",
"telephone_number": "920-288-3388",
"fax_number": "920-288-3370"
}
],
"practiceLocations": [
{
"address_1": "580 W College Ave",
"address_purpose": "LOCATION",
"city": "Marquette",
"state": "MI",
"postal_code": "498552736",
"country_code": "US",
"telephone_number": "906-228-9440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14700 Lake Shore Dr",
"address_purpose": "LOCATION",
"city": "Charlevoix",
"state": "MI",
"postal_code": "49720",
"country_code": "US",
"telephone_number": "231-547-4024",
"fax_number": "231-547-8088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIEHL",
"first_name": "NICHOLAS",
"middle_name": "SCOTT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-30",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704292833",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9382735",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "245396",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704292833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.