Active NPI
Michael Reed, CRNA
- Certified Registered Nurse Anesthetist
- New London, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 114312
- Practice address
- 1405 Mill St
New London, WI 54961 - Phone
- (920) 531-2000
- Fax
- (920) 531-2098
- NPI assigned
- Oct 20, 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 | 114312 | WI | Primary |
Addresses
Primary practice location
1405 Mill St
New London, WI 54961
Mailing address
122 E College Ave
Appleton, WI 54911-5794
Phone (920) 996-3264
Other practice location 1
1515 Park Ave
Columbus, WI 53925-2402
Phone (920) 623-2200
Other practice location 2
1515 Park Ave
Columbus, WI 53925-2402
Phone (920) 623-2200
Other practice location 3
800 Riverside Dr
Waupaca, WI 54981-1943
Phone (715) 258-1000
Other practice location 4
100 County Road B
Shawano, WI 54166-7072
Phone (715) 526-2111
Other practice location 5
225 Memorial Dr
Berlin, WI 54923-1243
Phone (920) 361-5538
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43385900 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1405 Mill St
New London, WI 54961-2155
Phone (920) 531-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114312 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Association of Hospital Anesthesiologists SC | Current | Accepting new patients | |
| Laboratory Corportation of America Holdings | Past | Accepting new patients | |
| Wisconsin Institute of Urology SC | Past | Accepting new patients | |
| Racine Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Stevens Point Anesthesia Association, S.C. | Past | Accepting new patients | |
| Southeastern Wisconsin Anesthesiology, S.C. | Past | Accepting new patients |
Locations
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
2109 E Capitol Dr
#B
Appleton, WI 54911
Phone (844) 693-1483
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
736 Ford St
Kimberly, WI 54136
130 2nd St
#A107
Neenah, WI 54956
130 2nd St
Neenah, WI 54956
Phone (920) 729-2063
1405 Mill St
New London, WI 54961
Phone (920) 531-2000
100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161
800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000
Organizations & group practices 6
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
- Neenah, WI
- NPI 1720076474
-
- Anesthesiology Physician
- Mount Pleasant, WI
- NPI 1467782748
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Burlington, WI
- NPI 1639125701
-
- Anesthesiology Physician
- Stevens Point, WI
- NPI 1659305399
-
- Urology Physician
- Neenah, WI
- NPI 1578872628
-
- Clinical Medical Laboratory
- Clinton, IN
- NPI 1194140293
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Clintonville, WI
- NPI 1144675745
-
- Critical Access Hospital
- New London, WI
- NPI 1538127220
-
- General Acute Care Hospital
- Neenah, WI
- NPI 1023472842
-
- General Acute Care Hospital
- Menasha, WI
- NPI 1720434806
-
- General Acute Care Hospital
- Neenah, WI
- NPI 1518993880
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1861943409
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1679937494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1497837900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 E COLLEGE AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "549115794",
"telephone_number": "920-996-3264",
"fax_number": "920-830-5910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 MILL ST",
"city": "NEW LONDON",
"state": "WI",
"postal_code": "54961",
"telephone_number": "920-531-2000",
"fax_number": "920-531-2098"
}
],
"practiceLocations": [
{
"address_1": "1515 Park Ave",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "WI",
"postal_code": "539252402",
"country_code": "US",
"telephone_number": "920-623-2200",
"fax_number": "920-623-1441",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1515 Park Ave",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "WI",
"postal_code": "539252402",
"country_code": "US",
"telephone_number": "920-623-2200",
"fax_number": "920-623-1441",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Riverside Dr",
"address_purpose": "LOCATION",
"city": "Waupaca",
"state": "WI",
"postal_code": "549811943",
"country_code": "US",
"telephone_number": "715-258-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 County Road B",
"address_purpose": "LOCATION",
"city": "Shawano",
"state": "WI",
"postal_code": "541667072",
"country_code": "US",
"telephone_number": "715-526-2111",
"fax_number": "715-526-9366",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "225 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Berlin",
"state": "WI",
"postal_code": "549231243",
"country_code": "US",
"telephone_number": "920-361-5538",
"fax_number": "920-361-5499",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REED",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "114312",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43385900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New London, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.