Active NPI
Michael T. Landis
- Certified Registered Nurse Anesthetist
- Stevens Point, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4908
- Practice address
- 900 Illinois Ave
Stevens Point, WI 54481-3114 - Phone
- (715) 346-5000
- NPI assigned
- Jun 20, 2012
- Last updated
- Dec 20, 2021
- 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 | D162896 | IA | |
| Certified Registered Nurse Anesthetist | 367500000X | 4908 | WI | Primary |
Addresses
Primary practice location
900 Illinois Ave
Stevens Point, WI 54481-3114
Mailing address
900 Illinois Ave
Stevens Point, WI 54481-3114
Phone (715) 346-5000
Other practice location 1
112 Jefferson St
West Union, IA 52175-1022
Phone (563) 422-3811
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 188681-30 | Other | WI | WI STATE LIC RN |
| 4908-33 | Other | WI | APNP LIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone (715) 361-2000
333 Pine Ridge Blvd
Wausau, WI 54401-4102
Phone (715) 847-2866
410 Dewey St
Wisconsin Rapids, WI 54494-4715
Phone (715) 423-6060
420 Dewey St
Wisconsin Rapids, WI 54494-4714
Phone (715) 422-7750
800 N 1St St
Wausau, WI 54403-4754
Phone (715) 261-8500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D162896 | IA | MD | Certified Registered Nurse Anesthetist |
Practice roles
Locations (25 of 29)
112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811
29980 Network Pl
Chicago, IL 60673
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100
1001 W Glen Oaks Ln
Ste 105
Mequon, WI 53092
Phone (414) 258-8314
601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511
130 2nd St
Neenah, WI 54956
Phone (920) 729-2063
1405 Mill St
New London, WI 54961
Phone (920) 531-2000
2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598
1020 Kabel Ave
Rhinelander, WI 54501
Phone (715) 361-2805
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-3000
100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161
1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530
1100 Centerpoint Dr
Ste 303
Stevens Point, WI 54481
Phone (715) 341-7920
3301 Stanley St
Stevens Point, WI 54481
Phone (715) 268-5500
500 Vincent St
Stevens Point, WI 54481
Phone (715) 341-7920
900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700
800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000
333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160
800 N 1st St
Wausau, WI 54403
Phone (715) 261-8500
800 N 1st St
#100
Wausau, WI 54403
Phone (715) 261-8500
Interoperability endpoints
- mlandis602030@direct.emplifyhealth.org
Organizations & group practices 28
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Aspirus Stevens Point Clinic - Illinois Avenue
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
-
dba Aspirus Outpatient Therapies - Wisconsin Rapids
- General Acute Care Hospital
- Wisconsin Rapids, WI
- NPI 1295754844
-
dba Aspirus Wausau Hospital Hospitalists
- Clinic/Center
- Wausau, WI
- NPI 1922321140
-
- Certified Registered Nurse Anesthetist
- Wausau, WI
- NPI 1336612795
Nurse Anesthetist, Certified Registered
-
dba Aspirus Gilman Clinic
- Rural Health Clinic/Center
- Gilman, WI
- NPI 1285703173
-
dba Aspirus Medford Hospital
- Critical Access Hospital
- Medford, WI
- NPI 1619079597
-
dba Aspirus Merrill Hospital
- Critical Access Hospital
- Merrill, WI
- NPI 1124084678
Nurse Anesthetist, Certified Registered
-
dba Aspirus Stanley Hospital
- Critical Access Hospital
- Stanley, WI
- NPI 1053391730
Nurse Anesthetist, Certified Registered
-
dba Aspirus Stanley Clinic
- Rural Health Clinic/Center
- Stanley, WI
- NPI 1356311252
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
-
- Anesthesiology Physician
- Neenah, WI
- NPI 1720076474
-
dba Aspirus Divine Savior Hospital
- General Acute Care Hospital
- Portage, WI
- NPI 1124083894
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Aspirus Clinic - Marshfield
- Rural Health Clinic/Center
- Marshfield, WI
- NPI 1124633870
Hospital
-
dba Aspirus Outpatient Therapies - Wisconsin Rapids
- General Acute Care Hospital
- Wisconsin Rapids, WI
- NPI 1295754844
-
dba Aspirus Edgar Clinic
- Clinic/Center
- Edgar, WI
- NPI 1447580725
Hospital
-
dba Aspirus Dermatology Clinic
- Dermatology Physician
- Wausau, WI
- NPI 1477883759
Hospital
-
dba Aspirus Imaging - Westwood
- Radiology Clinic/Center
- Wausau, WI
- NPI 1780014407
Hospital
-
dba Aspirus Outpatient Therapies - Pediatrics
- Rehabilitation Clinic/Center
- Wausau, WI
- NPI 1083955165
Hospital
-
dba Aspirus Plover Clinic
- Family Medicine Physician
- Stevens Point, WI
- NPI 1275886749
Hospital
-
dba Aspirus Regional Cancer Center
- Clinic/Center
- Wausau, WI
- NPI 1356576490
Hospital
-
- General Acute Care Hospital
- Wausau, WI
- NPI 1558363986
-
dba Aspirus Plover Hospital
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1598375271
-
- General Acute Care Hospital
- Wausau, WI
- NPI 1902923170
-
dba Aspirus Infectious Disease
- Clinic/Center
- Wausau, WI
- NPI 1952921405
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1558624908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 ILLINOIS AVE",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544813114",
"telephone_number": "715-346-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 ILLINOIS AVE",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544813114",
"telephone_number": "715-346-5000"
}
],
"practiceLocations": [
{
"address_1": "112 Jefferson St",
"address_purpose": "LOCATION",
"city": "West Union",
"state": "IA",
"postal_code": "521751022",
"country_code": "US",
"telephone_number": "563-422-3811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANDIS",
"first_name": "MICHAEL",
"middle_name": "T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-20",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "D162896",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "4908",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WI STATE LIC RN",
"identifier": "188681-30",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APNP LIC",
"identifier": "4908-33",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stevens Point, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.