Individual provider Active NPI

Allen Migliaccio, CRNA

  • Certified Registered Nurse Anesthetist
  • Rome, NY
National Provider Identifier
1386644748
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
259891-1 Issued in NY
Practice address
536 S Jay St
Rome, NY 13440-1626
Phone
(315) 336-3933
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 APN 557 SC
Certified Registered Nurse Anesthetist 367500000X 259891-1 NY Primary

Addresses

Primary practice location

536 S Jay St
Rome, NY 13440-1626

Mailing address

536 S Jay St
Rome, NY 13440-1626
Phone (315) 336-3933

Other identifiers 1

IdentifierTypeStateIssuer
AN0970MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28642SCMDInternal Medicine Physician
259891-1NYMDCertified Registered Nurse Anesthetist
APN 557SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Tyler Health Systems Past Accepting new patients
The Frederick Ferris Thompson Hospital Past Accepting new patients
The Frederick Ferris Thompson Hospital PastSince Jul 10, 2000 Accepting new patients
Spartanburg Hospital for Restorative Care Past Accepting new patients
Mercy Tyler Hospital Past Accepting new patients
Holdings,LLC Past Accepting new patients
Wolverine Anesthesia Consultants, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386644748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 S JAY ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134401626",
            "telephone_number": "315-336-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 S JAY ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134401626",
            "telephone_number": "315-336-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGLIACCIO",
        "first_name": "ALLEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "APN 557",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "259891-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN0970",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.