NPIMap

Individual provider Active NPI

Michael Punk, CRNA

  • Certified Registered Nurse Anesthetist
  • Beaver, PA
National Provider Identifier
1235588641
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN627047 Issued in PA
Practice address
1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone
(724) 728-7000
NPI assigned
Jun 7, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN627047 PA Primary

Addresses

Primary practice location

1000 Dutch Ridge Rd
Beaver, PA 15009-9727

Mailing address

1129 Indiana Ave
2ND Floor
Monaca, PA 15061-2050
Phone (814) 558-6135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160829002462 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628363629 Reassigns benefits to 12 organizations
I20240923000789 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628363629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians
Charles Cole Memorial HospitalGroup PAC ID 3779487475, 66 clinicians
Upmc KaneGroup PAC ID 7113814625, 29 clinicians
Nextgen Anesthesia, LLCGroup PAC ID 6305357146, 15 clinicians
Keystone Anesthesia, LLCGroup PAC ID 9335130053, 3 clinicians
Elk Regional Health CenterGroup PAC ID 7517870512, 47 clinicians

Practice addresses (Care Compare)

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-3034

1001 E 2ND St
Coudersport, PA 16915-8161

2 Thompson Park
Kane, PA 16735-5618
Phone (814) 837-4770

2 W Crescent Park
Warren, PA 16365-2111
Phone (814) 723-3300

3744 State Route 257
Seneca, PA 16346-3318
Phone (814) 677-8922

4372 Route 6
Kane, PA 16735-3060
Phone (814) 837-4741

763 Johnsonburg Rd
Saint Marys, PA 15857-3417
Phone (814) 788-8599

Hospital & facility affiliations

  • Warren General Hospital Hospital, Warren, PA, CCN 390146
  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086
  • Warren General Hospital Hospital, Warren, PA, CCN 391319
  • Penn Highlands Elk Hospital, Saint Marys, PA, CCN 391315
  • Upmc Cole Hospital, Coudersport, PA, CCN 391313

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN627047PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Brookville Hospital Nurse Anesthetist, Certified Registered CurrentSince Jan 28, 2023 Accepting new patients
Dubois Regional Medical Center Nurse Anesthetist, Certified Registered CurrentSince Sep 22, 2021 Accepting new patients
Community Surgery & Laser Center, LLC CurrentSince Apr 25, 2025 Accepting new patients
Elk Regional Health Center Nurse Anesthetist, Certified Registered CurrentSince Jul 28, 2021 Accepting new patients
Great Lakes Anesthesiology, PC CurrentSince Aug 2, 2023 Accepting new patients
Brookville Hospital CurrentSince Dec 1, 2025 Accepting new patients
Community Eye Care Specialists P C CurrentSince Feb 1, 2025 Accepting new patients
Dubois Regional Medical Center CurrentSince Sep 22, 2021 Accepting new patients
Nextgen Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 20, 2025 Accepting new patients
Elk Regional Health Center CurrentSince Jul 28, 2021 Accepting new patients
Upmc Kane CurrentSince Apr 1, 2025 Accepting new patients
Brookville Hospital CurrentSince Jan 28, 2023 Accepting new patients
Laurel Laser & Surgery Center, L.P. CurrentSince Jun 1, 2024 Accepting new patients
Upmc Kane CurrentSince Apr 1, 2025 Accepting new patients
Premier Anesthesia of New York, P.C. Nurse Anesthetist, Certified Registered CurrentSince Jul 15, 2024 Accepting new patients
Community Eye Care Specialists, P.C. CurrentSince Feb 1, 2025 Accepting new patients

Locations

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

52 Waterford Pike
Brookville, PA 15825
Phone (412) 992-0375

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

4372 Route 6
Kane, PA 16735
Phone (814) 837-4741

2 Thompson Park
Kane, PA 16735
Phone (814) 837-4770

763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000

763 Johnsonburg Rd
#A
Saint Marys, PA 15857
Phone (800) 446-5090

3744 State Route 257
Seneca, PA 16346
Phone (814) 677-6638

2 Farm Colony Dr
Warren, PA 16365
Phone (814) 726-2303

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 34

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 34

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1235588641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 INDIANA AVE",
            "address_2": "2ND FLOOR",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150612050",
            "telephone_number": "814-558-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 DUTCH RIDGE RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099727",
            "telephone_number": "724-728-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNK",
        "first_name": "MICHAEL",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN627047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.

Verify at the official NPI Registry.