Active NPI
John Mitchell Hoopes, CRNA
- Certified Registered Nurse Anesthetist
- Portage, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 130610
- Practice address
- 2817 New Pinery Rd
Portage, WI 53901-9240 - Phone
- (608) 742-4131
- NPI assigned
- Feb 28, 2006
- Last updated
- Sep 30, 2015
- 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 | 130610 | WI | Primary |
Addresses
Primary practice location
2817 New Pinery Rd
Portage, WI 53901-9240
Mailing address
1230 Hanover TRL
Waunakee, WI 53597-2649
Phone (608) 850-4277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44324500 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2626 | WI | MD | Chiropractor |
| 130610 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current | Accepting new patients | |
| Divine Savior Healthcare, Inc. | Current | Accepting new patients | |
| Divine Savior Healthcare, Inc. | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
29980 Network Pl
Chicago, IL 60673
611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598
900 Ridge St
Stoughton, WI 53589
Phone (608) 231-3410
Organizations & group practices 7
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.
-
dba Aspirus Divine Savior Hospital
- General Acute Care Hospital
- Portage, WI
- NPI 1124083894
-
dba MHS Physician Services
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
-
- Critical Access Hospital
- Edgerton, WI
- NPI 1154350049
-
- Critical Access Hospital
- Stoughton, WI
- NPI 1679558647
-
dba Aspirus Portage Clinic
- Rural Health Clinic/Center
- Portage, WI
- NPI 1386154417
-
dba Mercy Hospital Janesville
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
-
dba Mercy Walworth Hospital and Medical Center
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1356317309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 HANOVER TRL",
"city": "WAUNAKEE",
"state": "WI",
"postal_code": "535972649",
"telephone_number": "608-850-4277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 NEW PINERY RD",
"city": "PORTAGE",
"state": "WI",
"postal_code": "539019240",
"telephone_number": "608-742-4131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOPES",
"first_name": "JOHN",
"middle_name": "MITCHELL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "130610",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44324500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portage, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.