Active NPI
Michael Jon Kirwan, CRNA
- Certified Registered Nurse Anesthetist
- Blair, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 100955
- Practice address
- 810 North 22ND Street
Blair, NE 68008-1128 - Phone
- (402) 426-2182
- Fax
- (402) 426-1297
- NPI assigned
- Sep 8, 2005
- Last updated
- Jan 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 100955 | NE | Primary |
Addresses
Primary practice location
810 North 22ND Street
Blair, NE 68008-1128
Mailing address
20803 Hemlock St
Elkhorn, NE 68022-5119
Phone (402) 380-0869
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8901 Indian Hills Dr
Suite 200
Omaha, NE 68114-4032
Phone (402) 397-7057
9850 Nicholas St
Suite 100
Omaha, NE 68114-2191
Phone (402) 343-1122
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100955 | NE | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Gastrointestinal Associates PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Leighow Anesthesia & Medical Aesthetics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Metro Omaha Anesthesia PC | Current | Accepting new patients |
Locations
812 N 22nd St
Blair, NE 68008
Phone (402) 426-4611
2727 N Clarkson St
Fremont, NE 68025
Phone (402) 727-8500
11606 Nicholas St
Omaha, NE 68154
Phone (402) 493-2020
11704 W Center Rd
Ste 110
Omaha, NE 68144
Phone (402) 212-0847
11819 Miracle Hills Dr
Ste 201
Omaha, NE 68154
Phone (402) 884-2450
17001 Lakeside Hills Plz
Ste 200
Omaha, NE 68130
Phone (402) 885-8700
3201 S 24th St
Omaha, NE 68108
Phone (402) 345-9132
4909 S 118th St
Omaha, NE 68137
Phone (402) 397-2010
8901 Indian Hills Dr
Ste 200
Omaha, NE 68114
Phone (402) 397-7057
9850 Nicholas St
Omaha, NE 68114
Phone (402) 343-1122
9850 Nicholas St
Ste 100
Omaha, NE 68114
Phone (402) 343-1122
535 Fortune Dr
Ste 200
Papillion, NE 68046
Phone (402) 934-8040
Organizations & group practices 3
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.
-
- Certified Registered Nurse Anesthetist
- Omaha, NE
- NPI 1376936112
Nurse Anesthetist, Certified Registered
-
dba Midwest Gastrointestinal Associates
- Gastroenterology Physician
- Omaha, NE
- NPI 1073569125
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Omaha, NE
- NPI 1558884072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641945600000",
"number": "1316931074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20803 HEMLOCK ST",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680225119",
"telephone_number": "402-380-0869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 NORTH 22ND STREET",
"city": "BLAIR",
"state": "NE",
"postal_code": "680081128",
"telephone_number": "402-426-2182",
"fax_number": "402-426-1297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRWAN",
"first_name": "MICHAEL",
"middle_name": "JON",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NE",
"license": "100955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blair, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.