Individual provider Active NPI

Michael A Prebihilo, CRNA

  • Certified Registered Nurse Anesthetist
  • Roaring Spring, PA
National Provider Identifier
1396787271
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN200110L Issued in PA
Practice address
105 Nason Dr
Roaring Spring, PA 16673-1202
Phone
(814) 224-2141
Fax
(814) 224-6247
NPI assigned
Jun 12, 2006
Last updated
Jan 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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 RN200110L PA Primary

Addresses

Primary practice location

105 Nason Dr
Roaring Spring, PA 16673-1202

Mailing address

105 Nason Dr
Roaring Spring, PA 16673-1202
Phone (814) 224-2141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050525000814 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638111081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grove City Anesthesia and Pain Management, PLLCGroup PAC ID 4688860455, 61 clinicians

Practice addresses (Care Compare)

105 Nason Dr
Roaring Spring, PA 16673-1202
Phone (814) 224-2141

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
William J Kirsch MD PC Current Accepting new patients
Fink Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2020 Accepting new patients
Grove City Anesthesia & Pain Management, PLLC CurrentSince Jan 1, 2022 Accepting new patients
Blair County Anesthesia, P.C. Past Accepting new patients
Lexington Anesthesia Associates, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

105 Nason Dr
Roaring Spring, PA 16673
Phone (814) 224-2141

Organizations & group practices 5

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1396787271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NASON DR",
            "city": "ROARING SPRING",
            "state": "PA",
            "postal_code": "166731202",
            "telephone_number": "814-224-2141",
            "fax_number": "814-224-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NASON DR",
            "city": "ROARING SPRING",
            "state": "PA",
            "postal_code": "166731202",
            "telephone_number": "814-224-2141",
            "fax_number": "814-224-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREBIHILO",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN200110L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roaring Spring, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.