Individual provider Active NPI

Michael Eric Stabinski, CRNA

  • Certified Registered Nurse Anesthetist
  • Watertown, NY
National Provider Identifier
1467860528
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
22 685238 Issued in NY
Practice address
826 Washington St FL 3
Watertown, NY 13601-4063
Phone
(315) 785-8509
NPI assigned
Jul 31, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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 22 685238 NY Primary

Addresses

Primary practice location

826 Washington St FL 3
Watertown, NY 13601-4063

Mailing address

346 Brady Rd
Sackets Harbor, NY 13685-9504
Phone (305) 527-8594

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141006001646 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840410379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Anesthesiologist Services PCGroup PAC ID 0840289260, 37 clinicians

Practice addresses (Care Compare)

830 Washington St
Watertown, NY 13601-4034
Phone (315) 785-8509

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.77 of 100Reported as group
Quality
88.12
Improvement activities
40
Cost
77.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22 685238NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Anesthesiologist Services PC CurrentSince Jun 30, 2014 Accepting new patients
Samaritan Medical Practice, PC Past Accepting new patients

Locations

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

826 Washington St
Fl 3
Watertown, NY 13601
Phone (315) 785-4000

Organizations & group practices 2

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.

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": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1467860528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 BRADY RD",
            "city": "SACKETS HARBOR",
            "state": "NY",
            "postal_code": "136859504",
            "telephone_number": "305-527-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON ST FL 3",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014063",
            "telephone_number": "315-785-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STABINSKI",
        "first_name": "MICHAEL",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "22 685238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.