Active NPI
Michael James Rider, CRNA
- Certified Registered Nurse Anesthetist
- Dubuque, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- D-126465
- 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, 2010
- 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 | 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, WI
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| D-126465 | IA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Medical Associates Clinic P C | Current | Accepting new patients | |
| Vernon Memorial Healthcare, Inc. | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Palmer Lutheran Health Center, Inc. | Current | Accepting new patients | |
| Prairie Du Chien Memorial Hospital Association Inc | Current | Accepting new patients | |
| Prairie Du Chien Memorial Hospital Assoc Inc | Current | Accepting new patients | |
| North Iowa Mercy Clinics | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| North Iowa Mercy Clinics | Current | 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.
-
dba MercyOne North Iowa Anesthesia Professional Services
- Anesthesiology Physician
- Mason City, IA
- NPI 1780278242
-
dba Crossing Rivers Health
- Critical Access Hospital
- Prairie Du Chien, WI
- NPI 1619024197
-
- Multi-Specialty Clinic/Center
- Dubuque, IA
- NPI 1457300790
-
dba Gundersen Palmer Lutheran Hospital and Clinics
- Critical Access Hospital
- West Union, IA
- NPI 1598765398
-
dba Marshfield Clinic Florida Teleradiology/Telehealth
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
dba Vernon Health
- Critical Access Hospital
- Viroqua, WI
- NPI 1497750921
-
dba Gundersen Boscobel Area Hospital and Clinics
- Critical Access Hospital
- Boscobel, WI
- NPI 1760459846
-
dba MercyOne North Iowa Family and Sports Medicine
- Sports Medicine (Family Medicine) Physician
- Mason City, IA
- NPI 1982300349
-
dba Marshfield Medical Center - Eau Claire Cancer Center
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1558230847
-
dba Crossing Rivers Health Clinic
- Family Medicine Physician
- Prairie Du Chien, WI
- NPI 1659709830
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Medical Center-North Iowa
- Rural Acute Care Hospital
- Mason City, IA
- NPI 1467537886
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.