NPIMap

Individual provider Active NPI

Micah Scott Denome

  • Certified Registered Nurse Anesthetist
  • Midland, MI
National Provider Identifier
1366175606
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN711065 Issued in PA
Practice address
4000 Wellness Dr
Midland, MI 48670-2000
Phone
(989) 839-3000
NPI assigned
Jul 5, 2022
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704302446 MI
Certified Registered Nurse Anesthetist 367500000X RN711065 PA Primary

Addresses

Primary practice location

4000 Wellness Dr
Midland, MI 48670-2000

Mailing address

4000 Wellness Dr
Midland, MI 48670-2000
Phone (844) 832-1956

Other practice location 1

746 Jefferson Ave
Scranton, PA 18510-1624
Phone (570) 770-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220824000572 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668855610 Reassigns benefits to 3 organizations
I20250610000086 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668855610 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians

Practice addresses (Care Compare)

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 782-3282

2463 S M
Suite 30
West Branch, MI 48661-9312
Phone (989) 345-3660

4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 839-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Clare CurrentSince Apr 7, 2025 Accepting new patients
Mymichigan Medical Center Clare Nurse Anesthetist, Certified Registered CurrentSince Apr 7, 2025 Accepting new patients
Midland Pathology Associates, PC Current Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Apr 7, 2025 Accepting new patients
Mymichigan Medical Center West Branch Current Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 30, 2023 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Apr 7, 2025 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC CurrentSince Jan 16, 2024 Accepting new patients
Mymichigan Medical Center Midland Nurse Anesthetist, Certified Registered CurrentSince Apr 7, 2025 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 16, 2024 Accepting new patients
Mymichigan Medical Center West Branch Nurse Anesthetist, Certified Registered CurrentSince Apr 7, 2025 Accepting new patients

Locations

703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

L4355
Columbus, OH 43260

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

415 Adams Ave
Scranton, PA 18510
Phone (570) 504-8100

700 Quincy Ave
Scranton, PA 18510
Phone (570) 340-2100

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

Organizations & group practices 12

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.

Hospital & facility affiliations 12

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": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1366175606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000",
            "telephone_number": "844-832-1956",
            "fax_number": "989-633-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000",
            "telephone_number": "989-839-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "746 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185101624",
            "country_code": "US",
            "telephone_number": "570-770-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENOME",
        "first_name": "MICAH",
        "middle_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-05",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704302446",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN711065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.