Individual provider Active NPI

Michael Adam Zinckgraf, CRNA

  • Certified Registered Nurse Anesthetist
  • Sunrise, FL
National Provider Identifier
1457329427
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP3312342 Issued in FL
Practice address
1613 Harrison Pkwy
#200
Sunrise, FL 33323
Phone
(954) 838-2371
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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 24194 TN
Certified Registered Nurse Anesthetist 367500000X ARNP3312342 FL Primary

Addresses

Primary practice location

1613 Harrison Pkwy
#200
Sunrise, FL 33323

Mailing address

PO Box 817737
Hollywood, FL 33081-1737

Other practice location 1

10820 Parkside Dr
Knoxville, TN 37934-1956
Phone (865) 218-7011

Other practice location 2

10800 Parkside Dr
Knoxville, TN 37934-1922
Phone (865) 218-7600

Other practice location 3

900 E Oak Hill Ave
Knoxville, TN 37917-4505
Phone (865) 545-8000

Other practice location 4

7565 Dannaher Dr
Powell, TN 37849-4029
Phone (865) 859-8000

Other identifiers 1

IdentifierTypeStateIssuer
304897700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040414000861 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325032022 Reassigns benefits to 1 organization
I20180919001002 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325032022 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resource Anesthesia, P.C.Group PAC ID 1254228141, 71 clinicians

Practice addresses (Care Compare)

1210 Tennova Medical Way
Knoxville, TN 37909-3120
Phone (865) 909-4930

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince Apr 29, 2018 Accepting new patients
American Anesthesiology of Florida, Inc CurrentSince Jul 25, 2011 Accepting new patients
American Anesthesiology of Florida, Inc Current Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 24, 2019 Accepting new patients
Covenant Anesthesia Group, PC CurrentSince Feb 1, 2019 Accepting new patients
Resource Anesthesia, P.C. Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2024 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Apr 29, 2018 Accepting new patients
University Anesthesiologists, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2022 Accepting new patients
Florida Ambulatory Anesthesia LLC Past Accepting new patients
Pinnacle Anesthesia PL Past Accepting new patients
Anesthesiology Consultants of the Palm Beaches PA PastSince Jan 19, 2004 Accepting new patients
University Anesthesiologists, PLLC Past Accepting new patients
Palm Beach Anesthesia Partners, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

421 S Main St
Crossville, TN 38555
Phone (931) 260-1465

8045 Roane Medical Center Dr
Harriman, TN 37748
Phone (865) 316-1000

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

Dept 888089
Knoxville, TN 37995

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

900 E Hill Ave
Knoxville, TN 37915
Phone (865) 545-7817

1210 Tennova Medical Way
Knoxville, TN 37909
Phone (702) 271-8476

1924 Alcoa Hwy
#U109
Knoxville, TN 37920
Phone (865) 305-9220

550 Fort Loudon Medical Center Dr
#C
Lenoir City, TN 37772

990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1457329427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 817737",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330811737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 HARRISON PKWY",
            "address_2": "#200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33323",
            "telephone_number": "954-838-2371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10820 Parkside Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379341956",
            "country_code": "US",
            "telephone_number": "865-218-7011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10800 Parkside Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379341922",
            "country_code": "US",
            "telephone_number": "865-218-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 E Oak Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379174505",
            "country_code": "US",
            "telephone_number": "865-545-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7565 Dannaher Dr",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "TN",
            "postal_code": "378494029",
            "country_code": "US",
            "telephone_number": "865-859-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZINCKGRAF",
        "first_name": "MICHAEL",
        "middle_name": "ADAM",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "24194",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP3312342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304897700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.