Active NPI
Amanda Leigh Michael, CRNA
- Certified Registered Nurse Anesthetist
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 208957
- Practice address
- 2131 S 17TH St
Wilmington, NC 28401-7407 - Phone
- (910) 343-7000
- Fax
- (877) 665-4450
- NPI assigned
- Jun 1, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 208957 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 208957 | NC | Primary |
Addresses
Primary practice location
2131 S 17TH St
Wilmington, NC 28401-7407
Mailing address
2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 343-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 343-7044
5115 Oleander Dr
Wilmington, NC 28403-7018
Phone (910) 362-1011
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1559 | NC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pender Memorial Hospital, Incorporated | Current | Accepting new patients | |
| Coastal Carolina Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Pender Memorial Hospital Incorporated | Current | Accepting new patients | |
| Novant Health New Hanover Regional Medical Center LLC | Current | Accepting new patients | |
| Novant Health New Hanover Regional Medical Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
507 E Fremont St
Burgaw, NC 28425
Phone (910) 259-5451
1333 S Dickinson Dr
Unit 120
Leland, NC 28451
Phone (910) 763-2361
2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000
5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011
105 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 686-2840
Organizations & group practices 6
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
- Wilmington, NC
- NPI 1114544996
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Wilmington, NC
- NPI 1750978839
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Burgaw, NC
- NPI 1053444901
-
- Certified Registered Nurse Anesthetist
- Burlington, NC
- NPI 1053677195
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Wilmington, NC
- NPI 1932958584
-
- Critical Access Hospital
- Burgaw, NC
- NPI 1295703130
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469404800000",
"number": "1265726855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2131 S 17TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017407",
"telephone_number": "910-343-7000",
"fax_number": "877-665-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 S 17TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017407",
"telephone_number": "910-343-7000",
"fax_number": "877-665-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAEL",
"first_name": "AMANDA",
"middle_name": "LEIGH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-01",
"last_updated": "2016-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "NC",
"license": "208957",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "208957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.