Individual provider Active NPI

Michael P Slampak

  • Certified Registered Nurse Anesthetist
  • Erie, PA
National Provider Identifier
1356934574
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN641145 Issued in PA
Practice address
201 State St
Erie, PA 16550-0001
Phone
(412) 877-6000
NPI assigned
Feb 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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 RN641145 PA Primary

Addresses

Primary practice location

201 State St
Erie, PA 16550-0001

Mailing address

201 State St Erie PA 16550
Erie, PA 16550-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240201004529 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688075534 Reassigns benefits to 1 organization
I20250117000184 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688075534 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Alphonsus Professional Medical Services LLCGroup PAC ID 7214849751, 124 clinicians
Anesthesia Associates of Boise, P.a.Group PAC ID 2668385287, 183 clinicians
Anesthesiology Consultants of Treasure Valley PLLCGroup PAC ID 4981661196, 27 clinicians

Practice addresses (Care Compare)

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2152

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2222

8800 W Emerald St
Boise, ID 83704-8205
Phone (208) 373-5000

Hospital & facility affiliations

  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007
  • Treasure Valley Hospital Hospital, Boise, ID, CCN 130063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN641145PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 30, 2023 Accepting new patients
St Alphonsus Professional Medical Services LLC CurrentSince Mar 17, 2025 Accepting new patients
Anesthesia Associates of Boise, P.a. CurrentSince Mar 1, 2025 Accepting new patients
St Alphonsus Professional Medical Services LLC CurrentSince Mar 17, 2025 Accepting new patients
Anesthesiology Consultants of Treasure Valley PLLC CurrentSince Nov 3, 2024 Accepting new patients

Locations

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

2537 W State St
Ste 200
Boise, ID 83702
Phone (208) 336-0895

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

338 E Bannock St
Boise, ID 83712
Phone (208) 336-0895

8800 W Emerald St
Boise, ID 83704
Phone (208) 373-5000

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

1000 State St
McCall, ID 83638
Phone (208) 634-2221

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1356934574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 STATE ST ERIE PA 16550",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165500001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165500001",
            "telephone_number": "412-877-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAMPAK",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN641145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.