Active NPI
Michael Paul Audette, CRNA
- Certified Registered Nurse Anesthetist
- Lincoln, RI
National Provider Identifier
1487745840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 130396
- Practice address
- 17 E Butterfly Way
Lincoln, RI 02865-3935 - Phone
- (401) 723-3127
- NPI assigned
- Sep 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 130396 | MA | Primary |
Addresses
Primary practice location
17 E Butterfly Way
Lincoln, RI 02865-3935
Mailing address
17 E Butterfly Way
Lincoln, RI 02865-3935
Phone (401) 723-3127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050316000243 | MA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2466407101 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Milford Anesthesia Consultants PC
Practice addresses (Care Compare)
14 Prospect St
Milford, MA 01757-3003
Phone (508) 422-2343
Hospital & facility affiliations
- Milford Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.82 of 100
- Quality
- 70
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130396 | MA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milford Anesthesia Consultants PC | Current | Accepting new patients | |
| Metrowest Anesthesiology, Inc. | Past | Accepting new patients |
Locations
14 Prospect St
Milford, MA 01757
Phone (508) 422-2343
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.
-
- Anesthesiology Physician
- Framingham, MA
- NPI 1699763599
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milford, MA
- NPI 1477527497
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487745840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 E BUTTERFLY WAY",
"city": "LINCOLN",
"state": "RI",
"postal_code": "028653935",
"telephone_number": "401-723-3127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 E BUTTERFLY WAY",
"city": "LINCOLN",
"state": "RI",
"postal_code": "028653935",
"telephone_number": "401-723-3127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUDETTE",
"first_name": "MICHAEL",
"middle_name": "PAUL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "130396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.