Mark Meitzner, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704225319 Issued in MI

Practice address

3601 W 13 Mile Rd
400 FSC - PCS
Royal Oak, MI 48073-6769

Phone

(248) 423-3144

NPI assigned

Mar 11, 2006

Last updated

Aug 8, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Michigan Aas LLCGroup PAC ID 9931324076, 38 clinicians

Resource Anesthesiology Associates of Mi PCGroup PAC ID 4082883053, 62 clinicians

Eastside Group LLCGroup PAC ID 4486790219, 36 clinicians

Northwestern Services LLCGroup PAC ID 4486723657, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tawas St Joseph Hospital Hospital, Tawas City, MI, CCN 230100

Merit-based Incentive Payment System (MIPS)

Final score

74.5 of 100Reported as group

Quality

70

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmeitzner686083@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastside Group LLC

  • Anesthesiology Physician
  • Saint Clair Shores, MI
  • NPI 1235365289

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Northwestern Services, LLC

  • Certified Registered Nurse Anesthetist
  • Farmington Hills, MI
  • NPI 1215106679

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Resource Anesthesiology Associates of Mi PC

  • Anesthesiology Physician
  • Saginaw, MI
  • NPI 1568755882
  Medicare reassignment Care Compare group NPD
• West Michigan Aas LLC

  • Anesthesiology Physician
  • Novi, MI
  • NPI 1295149227
  Medicare reassignment Care Compare group NPD
• Anesthesia Associates of the Lower Peninsula PC

  • Anesthesiology Physician
  • Saginaw, MI
  • NPI 1740152412
  Medicare reassignment NPD
• Michigan Crnas Staffing LLC

  • Anesthesiology Physician
  • Novi, MI
  • NPI 1851666424
  Medicare reassignment NPD
• Novi Aas LLC

  • Anesthesiology Physician
  • Novi, MI
  • NPI 1598176919
  Medicare reassignment NPD
• PSJ Anesthesia PC

  • Certified Registered Nurse Anesthetist
  • Southfield, MI
  • NPI 1275905796

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Resource Anesthesiology Associates of Mid Michigan PC

  • Anesthesiology Physician
  • Saginaw, MI
  • NPI 1104617786
  Medicare reassignment NPD
• Northwestern Services, LLC

  • Anesthesiology Physician
  • Farmington Hills, MI
  • NPI 1083883649
  NPD
• Novi Anesthesia Services PLC

  • Anesthesiology Physician
  • Novi, MI
  • NPI 1487830345
  NPD (past)
• Southeastern Michigan Anesthesia

  • Anesthesiology Physician
  • Canton, MI
  • NPI 1942434592
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mymichigan Medical Center Tawas

  • Internal Medicine Physician
  • Tawas City, MI
  • NPI 1003996679

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Tawas

  dba Ascension St Joseph Hospital Internal Medicine Clinic

  • Rural Health Clinic/Center
  • Tawas City, MI
  • NPI 1164410841

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Tawas

  dba Ascension St Joseph Hospital

  • General Acute Care Hospital
  • Tawas City, MI
  • NPI 1194713461
  Care Compare affiliation
• Mymichigan Medical Center Tawas

  dba Ascension St Joseph Hospital AuGres Family Clinic

  • Rural Health Clinic/Center
  • Au Gres, MI
  • NPI 1326036153

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Tawas

  dba Ascension St Joseph Hospital Women's Clinic

  • Rural Health Clinic/Center
  • Tawas City, MI
  • NPI 1679561468

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Tawas

  dba Ascension St Joseph Hospital Huron Family Medicine

  • Rural Health Clinic/Center
  • Tawas City, MI
  • NPI 1952399743

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1316915648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4054 CALUMET DR",
            "city": "OAKLAND TWP",
            "state": "MI",
            "postal_code": "483064713",
            "telephone_number": "248-703-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W 13 MILE RD",
            "address_2": "400 FSC - PCS",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736769",
            "telephone_number": "248-423-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEITZNER",
        "first_name": "MARK",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-11",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704225319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "430F364420",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4631779",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ratnesh Nandan Mehra, DO
• Nishaki Mehta, M.D.
• Constance Meier
• Meijer Inc (Meijer Pharmacy #034)
• Dina Meissner
• Melissa E Mendoza Inc (Pink Positive Psychology)
• Danielle Mellin, PSYD
• Emma Melrose
• Joseph Richard Melrose, M.D.
• Julie A Mendelsohn, M.A. CCC-SLP

• Certified Registered Nurse Anesthetist in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.

Verify at the official NPI Registry.