Individual provider Active NPI

Michael Turner, CRNA

  • Certified Registered Nurse Anesthetist
  • East Chicago, IN
National Provider Identifier
1336388552
Registry record updated Dec 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209.007444 Issued in IL
Practice address
4321 Fir St
East Chicago, IN 46312-3097
Phone
(219) 392-1700
NPI assigned
Feb 11, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 209.007444 IL Primary

Addresses

Primary practice location

4321 Fir St
East Chicago, IN 46312-3097

Mailing address

208 Mayfair Way
Munster, IN 46321-9176
Phone (773) 263-2758

Other practice location 1

2160 S 1st Ave
Maywood, IL 60153-3328
Phone (708) 216-3619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090420000006 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507913183 Reassigns benefits to 2 organizations
I20120703000458 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507913183 Reassigns benefits to 2 organizations
Practice locations: East Chicago, IN

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Rush Medical College of Rush University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Anesthesia Providers LTDGroup PAC ID 6709249006, 26 clinicians

Practice addresses (Care Compare)

19110 Darvin Dr
Suite a
Mokena, IL 60448-8683
Phone (708) 478-8889

9200 Calumet Ave
Suite 200
Munster, IN 46321-2885
Phone (219) 961-9621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
209.007444ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ams Northern Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 25, 2022 Accepting new patients
Elite Anesthesia Providers, LTD Nurse Anesthetist, Certified Registered CurrentSince Jul 25, 2023 Accepting new patients
Quantum Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 19, 2020 Accepting new patients

Locations

114 W Rockland Rd
Libertyville, IL 60048
Phone (773) 267-0554

19110 Darvin Dr
Ste A
Mokena, IL 60448
Phone (708) 478-8889

1003 Pawlak Pkwy
New Lenox, IL 60451
Phone (708) 226-3300

7340 W College Dr
Palos Heights, IL 60463
Phone (708) 361-3233

9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100

2211 Main St
Ste 1A
Highland, IN 46322
Phone (219) 836-2201

9200 Calumet Ave
Ste 200
Munster, IN 46321
Phone (219) 961-9621

9200 Calumet Ave
Ste N300
Munster, IN 46321
Phone (219) 273-2570

1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576972800000",
    "number": "1336388552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 MAYFAIR WAY",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463219176",
            "telephone_number": "773-263-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 FIR ST",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463123097",
            "telephone_number": "219-392-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2160 S 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "IL",
            "postal_code": "601533328",
            "country_code": "US",
            "telephone_number": "708-216-3619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURNER",
        "first_name": "MICHAEL",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-11",
        "last_updated": "2019-12-22",
        "certification_date": "2019-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209.007444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Chicago, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2019; 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.