Michael E. Krestynick, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Bethlehem, PA
NPI 1285621045 · NPPES record last updated Mar 25, 2013
Key facts
- NPI
- 1285621045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 027257 (PA)
- Practice address
- 2545 Schoenersville Rd
Bethlehem, PA 18017-7300 - Phone
- (610) 402-9099
- Fax
- (610) 402-9029
- NPI assigned
- Oct 5, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Professional Anesthesia Services of North America PC
Lehigh Valley Physician Group
Practice addresses (Care Compare)
2310 Highland Ave
Bethlehem, PA 18020-8920
Phone (610) 861-8080
2752 Century Blvd
Wyomissing, PA 19610-3345
Phone (610) 378-8807
330 Main St
Dickson City, PA 18519-1691
Phone (610) 402-6164
Hospital & facility affiliations
- Lehigh Valley Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101102000857 | PA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6002000346 | Reassigns benefits to 3 organizations |
| I20160624000531 | NY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6002000346 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027257 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current |
Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Anesthesia Services, P. C. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Lehigh Valley Physician Group | Current |
Accepting new patients | |
| New York University | Current |
Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Professional Anesthesia Services of North America P.C. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Lehigh Valley Physician Group | Current |
Accepting new patients |
Locations
530 1st Ave
New York, NY 10016
Phone (212) 263-7216
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
1245 S Cedar Crest Blvd
Ste 301
Allentown, PA 18103
Phone (610) 402-9080
2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892
1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200
2310 Highland Ave
Bethlehem, PA 18020
Phone (610) 691-4300
2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000
330 Main St
Scranton, PA 18519
Phone (570) 330-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN197178L | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 027257 | PA | Yes |
Addresses
Primary practice location
2545 Schoenersville Rd
Bethlehem, PA 18017-7300
Mailing address
1245 S Cedar Crest Blvd
Suite #301
Allentown, PA 18103-6258
Phone (610) 402-9099
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1027806380001 | Medicaid | PA | |
| 1343814 | Other | PA | HIGHMARK |
| 1343814 | Other | PA | FIRST PRIORITY |
| 2036425000 | Other | PA | IND. BLUE CROSS |
| 11716950 | Other | PA | CAQH |
| 1343814 | Other | PA | KHP CENTRAL |
| 9132448 | Other | PA | AETNA |
| 03223701 | Other | PA | CAPITAL ADVANTAGE |
| 82854 | Other | PA | GEISINGER |
| 1542914 | Other | PA | GATEWAY |
Other providers in Bethlehem, PA
- Luke Charles Kreider
- Maria Kreiss-Gonzalez
- Emma Marie Krentler
- Helen Kreschollek
- Alicia Kresley
- Leslie E Krill
- Wendy S. Krisak
- Jambunathan Krishnan
- Luke Krispinsky
- Emilee M Krissinger
All providers in Bethlehem, PA · Certified Registered Nurse Anesthetist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.