Individual provider Active NPI

Michael T. Landis

  • Certified Registered Nurse Anesthetist
  • Stevens Point, WI
National Provider Identifier
1558624908
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4908 Issued in WI
Practice address
900 Illinois Ave
Stevens Point, WI 54481-3114
Phone
(715) 346-5000
NPI assigned
Jun 20, 2012
Last updated
Dec 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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 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

IdentifierTypeStateIssuer
188681-30OtherWIWI STATE LIC RN
4908-33OtherWIAPNP LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121004000573 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668621731 Reassigns benefits to 18 organizations
I20211221001059 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668621731 Reassigns benefits to 1 organization

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
Aspirus Wausau Hospital IncGroup PAC ID 6406757442, 242 clinicians
Midwest Alliance Services LLCGroup PAC ID 9234477092, 13 clinicians

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

LicenseStateTypeSpecialty
D162896IAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Stanley Hospital & Clinics, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 5, 2024 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. Nurse Anesthetist, Certified Registered CurrentSince May 1, 2022 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Jan 22, 2024 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Mar 6, 2023 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Aug 28, 2023 Accepting new patients
The Howard Young Medical Center, Inc. Current Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince May 15, 2023 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. Current Accepting new patients
The Howard Young Medical Center, Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 6, 2023 Accepting new patients
Midwest Alliance Services LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 15, 2021 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc. CurrentSince Jan 5, 2024 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince May 1, 2022 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Aug 22, 2012 Accepting new patients
Thedacare Medical Center - New London, Inc. CurrentSince Dec 1, 2019 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Aug 28, 2023 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc CurrentSince Jan 5, 2024 Accepting new patients
Palmer Lutheran Health Center, Inc. Current Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Thedacare Medical Center - New London, Inc CurrentSince Dec 1, 2019 Accepting new patients
Stevens Point Anesthesia Association, S.C. CurrentSince Nov 1, 2021 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Aug 22, 2012 Accepting new patients
Association of Hospital Anesthesiologists SC CurrentSince Jun 1, 2020 Accepting new patients
Aspirus Wausau Hospital, Inc CurrentSince May 15, 2023 Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients

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

  • Direct secure messaging: 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.

View all 28

Hospital & facility affiliations 12

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": "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.

Verify at the official NPI Registry.