Active NPI
Quinn Leroy
- Certified Registered Nurse Anesthetist
- Ishpeming, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704340952
- Practice address
- 633 Cooper Lake Rd
Ishpeming, MI 49849-3362 - Phone
- (906) 869-2021
- NPI assigned
- Jul 9, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 4704340952 | MI | Primary |
| Registered Nurse | 163W00000X | 4704340952 | MI |
Addresses
Primary practice location
633 Cooper Lake Rd
Ishpeming, MI 49849-3362
Mailing address
633 Cooper Lake Rd
Ishpeming, MI 49849-3362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231026003125 | MI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6305292368 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saginaw Anesthesia Services, PLLC
Practice addresses (Care Compare)
500 Campus Dr
Hancock, MI 49930-1452
Phone (906) 483-1000
Hospital & facility affiliations
- Up Health System Portage
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saginaw Anesthesia Services, PLLC | Current | Accepting new patients |
Locations
500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000
1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220
265 Brookview Centre Way
Ste 400
Knoxville, TN 37919
Phone (865) 293-5549
Organizations & group practices 1
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.
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": "1625788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1235700246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 COOPER LAKE RD",
"city": "ISHPEMING",
"state": "MI",
"postal_code": "498493362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 COOPER LAKE RD",
"city": "ISHPEMING",
"state": "MI",
"postal_code": "498493362",
"telephone_number": "906-869-2021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEROY",
"first_name": "QUINN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-09",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704340952",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704340952",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ishpeming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.