Active NPI
Michelle Keutzer, CRNA
- Certified Registered Nurse Anesthetist
- Mount Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 070455
- Practice address
- 1200 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-3231 - Phone
- (843) 881-4323
- NPI assigned
- Aug 22, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 070455 | SC | Primary |
Addresses
Primary practice location
1200 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-3231
Mailing address
744 W Michigan Ave
PO Box 1123
Jackson, MI 49201-1909
Phone (517) 787-6440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Medical University of South Carolina College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
530 Park Ave E
Princeton, IL 61356-3901
Phone (815) 875-2811
Hospital & facility affiliations
- Osf Saint Elizabeth MDL Ctr
- Osf Saint Clare Medical Center
- Osf Saint Paul Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070455 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Hammond Henry Dist Hospital | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Hammond Henry Dist Hospital | Current | Accepting new patients | |
| Valley Pain Care Centers LTD | Current | Accepting new patients | |
| Mt. Pleasant Anesthesia Associates, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Greenville Health System | Past | Accepting new patients | |
| Beaufort County Memorial Hospital | Past | Accepting new patients | |
| Hammond Henry Dist Hospital | Past | Accepting new patients |
Locations
1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521
600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431
100 5th St
Oswego, IL 60543
Phone (630) 449-0085
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
925 West St
Peru, IL 61354
Phone (815) 223-3300
530 Park Ave E
Princeton, IL 61356
Phone (815) 875-2811
1879 N Neltnor Blvd
West Chicago, IL 60185
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Critical Access Hospital
- Geneseo, IL
- NPI 1457344491
-
- Pain Medicine Physician
- Dekalb, IL
- NPI 1194722058
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Medicare Defined Swing Bed Hospital Unit
- Geneseo, IL
- NPI 1740397447
-
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1871335018
-
- General Acute Care Hospital
- Simpsonville, SC
- NPI 1679992838
-
- Certified Registered Nurse Anesthetist
- Mt Pleasant, SC
- NPI 1447205372
Nurse Anesthetist, Certified Registered
-
- Rural Health Clinic/Center
- Kewanee, IL
- NPI 1629517313
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Mendota, IL
- NPI 1609803113
-
- Critical Access Hospital
- Princeton, IL
- NPI 1093308439
-
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295841310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 W MICHIGAN AVE",
"address_2": "PO BOX 1123",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011909",
"telephone_number": "517-787-6440",
"fax_number": "517-787-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 JOHNNIE DODDS BLVD",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643231",
"telephone_number": "843-881-4323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEUTZER",
"first_name": "MICHELLE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "070455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.