Active NPI
Michael Kent Perry, CRNA
- Certified Registered Nurse Anesthetist
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 100507
- Practice address
- 8031 W Center Rd
Suite 226
Omaha, NE 68124-3134 - Phone
- (402) 391-8978
- Fax
- (402) 391-8979
- NPI assigned
- Oct 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 100507 | NE | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | D-067145 | IA |
Addresses
Primary practice location
8031 W Center Rd
Suite 226
Omaha, NE 68124-3134
Mailing address
13811 Charles St
Omaha, NE 68154-3883
Phone (402) 492-8544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, NE
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-067145 | IA | MD | Certified Registered Nurse Anesthetist |
| 100507 | NE | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Management PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Comprehensive Pain Center | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1840 Madison Ave
Ste 4
Council Bluffs, IA 51503
Phone (712) 256-0515
2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270
1423 7th St
Aurora, NE 68818
Phone (402) 694-3171
217 E Stolley Park Rd
Ste K
Grand Island, NE 68801
Phone (308) 380-0669
8031 W Center Rd
Ste 226
Omaha, NE 68124
Phone (402) 305-9986
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GIFFBA
Organizations & group practices 2
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.
-
- Certified Registered Nurse Anesthetist
- Omaha, NE
- NPI 1003026253
IA, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Omaha, NE
- NPI 1588940803
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334793600000",
"number": "1255428439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13811 CHARLES ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681543883",
"telephone_number": "402-492-8544",
"fax_number": "402-391-8979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8031 W CENTER RD",
"address_2": "SUITE 226",
"city": "OMAHA",
"state": "NE",
"postal_code": "681243134",
"telephone_number": "402-391-8978",
"fax_number": "402-391-8979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "MICHAEL",
"middle_name": "KENT",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2012-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NE",
"license": "100507",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "D-067145",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.