Individual provider Active NPI

Michael James Rider, CRNA

  • Certified Registered Nurse Anesthetist
  • Dubuque, IA
National Provider Identifier
1376859454
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
D-126465 Issued in IA
Practice address
1900 John F Kennedy Rd
Dubuque, IA 52002-3865
Phone
(563) 556-8332
Fax
(563) 556-8334
NPI assigned
Aug 26, 2010
Last updated
Oct 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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 D-126465 IA Primary

Addresses

Primary practice location

1900 John F Kennedy Rd
Dubuque, IA 52002-3865

Mailing address

1900 John F Kennedy Rd
Dubuque, IA 52002-3865
Phone (563) 556-8332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101020001011 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537352745 Reassigns benefits to 3 organizations
I20130228000322 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537352745 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Iowa Mercy ClinicsGroup PAC ID 7810809076, 304 clinicians

Practice addresses (Care Compare)

1000 4TH St SW
Mason City, IA 50401-2800

37868 US Hwy 18
Prairie Du Chien, WI 53821-8416
Phone (608) 357-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D-126465IAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc CurrentSince Jun 1, 2018 Accepting new patients
Medical Associates Clinic P C CurrentSince Jan 1, 2024 Accepting new patients
Vernon Memorial Healthcare, Inc. CurrentSince Jul 1, 2017 Accepting new patients
MCHS Hospitals Inc CurrentSince Jun 1, 2018 Accepting new patients
Palmer Lutheran Health Center, Inc. Current Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Jun 1, 2014 Accepting new patients
Prairie Du Chien Memorial Hospital Assoc Inc CurrentSince Jun 1, 2014 Accepting new patients
North Iowa Mercy Clinics CurrentSince May 27, 2025 Accepting new patients
Marshfield Clinic Inc CurrentSince Jan 16, 2017 Accepting new patients
North Iowa Mercy Clinics CurrentSince May 27, 2025 Accepting new patients

Locations

1000 Langworthy St
Dubuque, IA 52001
Phone (563) 584-3455

1500 Associates Dr
Dubuque, IA 52002
Phone (563) 584-4100

250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000

1000 4th St SW
Mason City, IA 50401
Phone (641) 424-6704

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000

507 S Main St
Viroqua, WI 54665
Phone (608) 637-2101

Organizations & group practices 11

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 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": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1376859454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 JOHN F KENNEDY RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520023865",
            "telephone_number": "563-556-8332",
            "fax_number": "563-556-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 JOHN F KENNEDY RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520023865",
            "telephone_number": "563-556-8332",
            "fax_number": "563-556-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDER",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D-126465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.