Active NPI
Nancy Mink, CRNA
- Certified Registered Nurse Anesthetist
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704235946
- Practice address
- 250 North East Avenue
Jackson, MI 49201 - Phone
- (517) 788-4800
- NPI assigned
- Aug 10, 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 | 4704235946 | MI | Primary |
Addresses
Primary practice location
250 North East Avenue
Jackson, MI 49201
Mailing address
3306 Vrooman Rd
Jackson, MI 49201-9738
Phone (517) 817-2256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
50 Alessandro PL
Suite 410
Pasadena, CA 91105-3175
Phone (626) 793-7114
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4263 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Healthcare Partners PC | Current | Accepting new patients | |
| Urology Institute of the South Bay | Current | Accepting new patients | |
| Skyline Urology | Current | Accepting new patients | |
| Morgan Medical Management, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
50 Alessandro Pl
Ste 410
Pasadena, CA 91105
Phone (626) 793-7114
50 Bellefontaine St
Ste 308
Pasadena, CA 91105
Phone (626) 473-0301
10 Congress St
Ste 410
Pasadena, CA 91105
Phone (626) 412-2838
23600 Telo Ave
Ste 220
Torrance, CA 90505
Phone (310) 534-8400
21250 Hawthorne Blvd
Ste 600
Torrance, CA 90503
Phone (650) 756-5000
Organizations & group practices 4
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.
-
- Specialist
- Encinitas, CA
- NPI 1548567498
-
- Specialist
- Torrance, CA
- NPI 1730136573
-
- Urology Physician
- Torrance, CA
- NPI 1801804760
-
- Certified Registered Nurse Anesthetist
- Jackson, MI
- NPI 1386740025
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306857099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3306 VROOMAN RD",
"city": "JACKSON",
"state": "MI",
"postal_code": "492019738",
"telephone_number": "517-817-2256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 NORTH EAST AVENUE",
"city": "JACKSON",
"state": "MI",
"postal_code": "49201",
"telephone_number": "517-788-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINK",
"first_name": "NANCY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704235946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
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.