Individual provider Active NPI

Michael Jeffrey Muehlenbein, CRNA

  • Certified Registered Nurse Anesthetist
  • Faribault, MN
National Provider Identifier
1346647013
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
104975 Issued in MN
Practice address
200 State Ave
Faribault, MN 55021-6339
Phone
(507) 334-6451
NPI assigned
Nov 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R186320-4 MN
Certified Registered Nurse Anesthetist 367500000X 104975 MN Primary

Addresses

Primary practice location

200 State Ave
Faribault, MN 55021-6339

Mailing address

2764 180TH St E
Prior Lake, MN 55372-2823
Phone (507) 330-3997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150908000875 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688980683 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cuyuna Regional Medical CenterGroup PAC ID 9537146550, 133 clinicians

Practice addresses (Care Compare)

320 E Main St
Crosby, MN 56441-1645
Phone (218) 546-7000

Hospital & facility affiliations

  • Cuyuna Regional Medical Center Hospital, Crosby, MN, CCN 241353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R186320-4MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Duluth Clinic LTD Current Accepting new patients
Allina Health System CurrentSince Jan 4, 2016 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Jan 27, 2022 Accepting new patients
Cuyuna Regional Medical Center CurrentSince Aug 1, 2016 Accepting new patients
Aitkin Community Hospital, Inc. Current Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Jan 4, 2016 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Nov 18, 2024 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Jan 27, 2022 Accepting new patients
The Duluth Clinic LTD CurrentSince Nov 18, 2024 Accepting new patients
Cuyuna Regional Medical Center Current Accepting new patients
Allina Health System Past Accepting new patients

Locations

200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121

13205 Isle Dr
Baxter, MN 56425
Phone (218) 454-7600

701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700

320 E Main St
Crosby, MN 56441
Phone (218) 546-7000

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

200 State Ave
Faribault, MN 55021
Phone (507) 334-6451

1542 Golf Course Rd
Ste 204
Grand Rapids, MN 55744
Phone (218) 322-4900

1175 Nininger Rd
Hastings, MN 55033
Phone (651) 404-1000

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1346647013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2764 180TH ST E",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553722823",
            "telephone_number": "507-330-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STATE AVE",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550216339",
            "telephone_number": "507-334-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUEHLENBEIN",
        "first_name": "MICHAEL",
        "middle_name": "JEFFREY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R186320-4",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "104975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Faribault, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.