Active NPI
Michael Anthony Glastetter II, DNP
- Certified Registered Nurse Anesthetist
- Cape Girardeau, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2022033691
- Practice address
- 211 Saint Francis Dr
Cape Girardeau, MO 63703-5049 - Phone
- (573) 331-3000
- NPI assigned
- May 17, 2022
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | 2022033691 | MO | Primary |
Addresses
Primary practice location
211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Mailing address
579 County Highway 241
Benton, MO 63736-8166
Phone (573) 579-3574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600
Hospital & facility affiliations
- Missouri Delta Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.07 of 100
- Quality
- 85.4
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri Delta Medical Center | Current | Accepting new patients | |
| Saint Francis Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Saint Francis Medical Center | Current | Accepting new patients | |
| G & G Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Missouri Delta Medical Center | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients |
Locations
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020
211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000
1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600
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.
-
- Internal Medicine Physician
- Sikeston, MO
- NPI 1508967860
-
- Anesthesiology Physician
- Cape Girardeau, MO
- NPI 1356304489
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Maryville, IL
- NPI 1487020111
Nurse Anesthetist, Certified Registered
-
- Community/Retail Pharmacy
- Malden, MO
- NPI 1578371621
-
- Rural Health Clinic/Center
- Poplar Bluff, MO
- NPI 1356706378
-
- Clinic/Center
- Jackson, MO
- NPI 1992502975
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sikeston, MO
- NPI 1831269539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1306583760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "579 COUNTY HIGHWAY 241",
"city": "BENTON",
"state": "MO",
"postal_code": "637368166",
"telephone_number": "573-579-3574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 SAINT FRANCIS DR",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637035049",
"telephone_number": "573-331-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASTETTER",
"first_name": "MICHAEL",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-17",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2022033691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.