Active NPI
Michael Blaine Nesmith, CRNA
- Certified Registered Nurse Anesthetist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 619214
- Practice address
- 6606 LBJ Fwy
Suite 200
Dallas, TX 75240-6533 - Phone
- (972) 715-5000
- Fax
- (972) 715-9976
- NPI assigned
- Dec 30, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 619214 | IN | |
| Certified Registered Nurse Anesthetist | 367500000X | 619214 | TX | Primary |
Addresses
Primary practice location
6606 LBJ Fwy
Suite 200
Dallas, TX 75240-6533
Mailing address
PO Box 650865
Dallas, TX 75265-0865
Phone (972) 715-5000
Other practice location 1
600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-2240
Other practice location 2
4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 450-2240
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01446623 | Other | TX | RR |
| 8973UG | Other | TX | BCBS |
| 165515106 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MN, IN
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Richardson, TX 75080
Phone (214) 660-5266
1300 Anne St NW
Bemidji, MN 56601-5103
Phone (218) 333-5000
1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000
600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-7299
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.56 of 100
- Quality
- 74.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.16
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.94 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.17 of 100
- Quality
- 82.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2849 | MN | MD | Marriage & Family Therapist |
| 619214 | IN | MD | Certified Registered Nurse Anesthetist |
| 619214 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Hospital, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Texas Allied Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Partners of Dallas PLLC | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Deaconess Hospital, Inc | Current | Accepting new patients | |
| Deaconess Hospital Inc | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Sundance Anesthesia PA | Past | Accepting new patients | |
| Apex Anesthesia Consultants, PLLC | Past | Accepting new patients |
Locations
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240
1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020
1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481
14850 Quorum Dr
Ste 400
Dallas, TX 75254
Phone (214) 801-1879
8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148
701 Tuscan Dr
Ste 100
Irving, TX 75039
Phone (214) 496-1100
2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450
2435 N Central Expy
Ste 1200
Richardson, TX 75080
Phone (214) 442-1900
Organizations & group practices 10
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.
-
- Certified Registered Nurse Anesthetist
- Irving, TX
- NPI 1730626169
Nurse Anesthetist, Certified Registered
-
dba Deaconess Care Group
- Hospitalist Physician
- Evansville, IN
- NPI 1427097443
-
dba Sanford Health Kelliher Clinic
- Family Medicine Physician
- Kelliher, MN
- NPI 1770849697
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1760841969
-
- Mental Health Counselor
- Evansville, IN
- NPI 1508723552
-
dba Deaconess Anesthesia Service
- Anesthesiology Physician
- Evansville, IN
- NPI 1629162573
Nurse Anesthetist, Certified Registered
-
dba Sanford Health International Falls Eye Clinic
- Eyewear Supplier
- International Falls, MN
- NPI 1013334457
-
dba Joe Lueken Cancer Center
- Internal Medicine Physician
- Bemidji, MN
- NPI 1780628149
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1124201827
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1760428361
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
dba Joe Lueken Cancer Center
- Internal Medicine Physician
- Bemidji, MN
- NPI 1780628149
Hospital
-
dba Sanford Bemidji Medical Center
- Rural Acute Care Hospital
- Bemidji, MN
- NPI 1801870191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697760000000",
"number": "1417934431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650865",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650865",
"telephone_number": "972-715-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6606 LBJ FWY",
"address_2": "SUITE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752406533",
"telephone_number": "972-715-5000",
"fax_number": "972-715-9976"
}
],
"practiceLocations": [
{
"address_1": "600 Mary St",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477101658",
"country_code": "US",
"telephone_number": "812-450-2240",
"fax_number": "812-450-2710",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4011 Gateway Blvd",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "IN",
"postal_code": "476308947",
"country_code": "US",
"telephone_number": "812-450-2240",
"fax_number": "812-450-2710",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NESMITH",
"first_name": "MICHAEL",
"middle_name": "BLAINE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2023-10-20",
"certification_date": "2023-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "619214",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "619214",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR",
"identifier": "P01446623",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8973UG",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165515106",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.