Active NPI
Michael Henry Wilhelm, CRNA
- Certified Registered Nurse Anesthetist
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 5250
- Practice address
- 80 Seymour St
Hartford, CT 06106-3300 - Phone
- (860) 545-5000
- NPI assigned
- Sep 22, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 91681 | CT | |
| Registered Nurse | 163W00000X | 598579 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 5250 | CT | Primary |
Addresses
Primary practice location
80 Seymour St
Hartford, CT 06106-3300
Mailing address
99 East River Drive
5TH Floor
East Hartford, CT 06108
Phone (347) 739-6947
Other practice location 1
675 Townsend Ave
Unit 104
New Haven, CT 06512-3101
Phone (347) 739-6947
Other practice location 2
263 Farmington Ave
Farmington, CT 06032-1956
Phone (860) 679-2000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mwilhelm10448@direct.med.uchc.edu | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
80 Semour St
Hartford, CT 06106-3315
Phone (860) 972-2117
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91681 | CT | MD | Registered Nurse |
| 598579 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North American Partners in Anesthesia LLP | Current | Accepting new patients | |
| Resource Anesthesiology Associates of CT PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
263 Farmington Ave
#6305
Farmington, CT 06032
263 Farmington Ave
Farmington, CT 06032
Phone (860) 679-1706
99 E River Dr
Fl 5
Hartford, CT 06108
Phone (860) 282-4022
80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249
505 Willard Ave
Newington, CT 06111
Phone (860) 224-6709
2 Trap Falls Rd
Ste 414
Shelton, CT 06484
Phone (860) 282-4128
2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375
540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361
539 Danbury Rd
Wilton, CT 06897
Phone (203) 834-7700
301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Shelton, CT
- NPI 1881636397
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Torrington, CT
- NPI 1447233176
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Middletown, CT
- NPI 1154263713
-
- General Acute Care Hospital
- Farmington, CT
- NPI 1669466561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618531200000",
"number": "1396096921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 EAST RIVER DRIVE",
"address_2": "5TH FLOOR",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "06108",
"telephone_number": "347-739-6947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 SEYMOUR ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063300",
"telephone_number": "860-545-5000"
}
],
"practiceLocations": [
{
"address_1": "675 Townsend Ave",
"address_2": "Unit 104",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065123101",
"country_code": "US",
"telephone_number": "347-739-6947",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "263 Farmington Ave",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "060321956",
"country_code": "US",
"telephone_number": "860-679-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILHELM",
"first_name": "MICHAEL",
"middle_name": "HENRY",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-22",
"last_updated": "2021-04-16",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "91681",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "598579",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "5250",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mwilhelm10448@direct.med.uchc.edu",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "263 Farmington Ave",
"city": "Farmington",
"state": "CT",
"country_code": "US",
"postal_code": "060321956",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.