Individual provider Active NPI

Michelle Villanueva

  • Certified Registered Nurse Anesthetist
  • New Hyde Park, NY
National Provider Identifier
1558678953
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4957081 Issued in NY
Practice address
19 Quaker St
New Hyde Park, NY 11040-1314
Phone
(516) 582-8504
NPI assigned
Sep 7, 2010
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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 13193 CT
Certified Registered Nurse Anesthetist 367500000X 4957081 NY Primary

Addresses

Primary practice location

19 Quaker St
New Hyde Park, NY 11040-1314

Mailing address

19 Quaker St
New Hyde Park, NY 11040-1314
Phone (516) 582-8504

Other practice location 1

216 1st St
Mineola, NY 11501-3901
Phone (516) 663-2216

Other practice location 2

20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242

Other names 1

  • Ms. Michelle Dimatulac Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mvillanueva344878@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110322000684 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618150087 Reassigns benefits to 8 organizations
I20241009000079 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618150087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

1 Healthy Way
Oceanside, NY 11572-1551
Phone (516) 632-3000

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
13193CTMDGeneral Practice Dentistry
4957081NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jan 21, 2017 Accepting new patients
New York University CurrentSince May 17, 2022 Accepting new patients
Yale University CurrentSince Sep 3, 2024 Accepting new patients
Weill Medical College of Cornell CurrentSince Oct 11, 2022 Accepting new patients
Weill Medical College of Cornell Nurse Anesthetist, Certified Registered CurrentSince Oct 11, 2022 Accepting new patients
Montefiore Medical Center CurrentSince Jan 21, 2017 Accepting new patients
Yale University Current Accepting new patients
Icahn School of Medicine at Mount Sinai Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Yale University CurrentSince Sep 3, 2024 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Nov 22, 2010 Accepting new patients
Centurion Midtown Anesthesia PLLC CurrentSince Aug 30, 2024 Accepting new patients
New York Cardiovascular Anesthesiologists, P.C. CurrentSince Jul 30, 2018 Accepting new patients
New York University Current Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Aug 19, 2024 Accepting new patients
Long Island Anesthesia Physicians LLP CurrentSince Feb 3, 2018 Accepting new patients
New York University CurrentSince May 17, 2022 Accepting new patients

Locations

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

111 E 210th St
Bronx, NY 10467

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

220 N Belle Mead Rd
East Setauket, NY 11733
Phone (516) 681-8400

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

8745 Lake Street Rd
Le Roy, NY 14482
Phone (585) 267-7570

259 1st St
Mineola, NY 11501
Phone (516) 576-1820

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

1000 N Village Ave
Ste 508
Rockville Ctr, NY 11570
Phone (516) 764-7900

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 16

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 16

Hospital & facility affiliations 2

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": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1558678953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 QUAKER ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401314",
            "telephone_number": "516-582-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 QUAKER ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401314",
            "telephone_number": "516-582-8504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 1st St",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115013901",
            "country_code": "US",
            "telephone_number": "516-663-2216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 York St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103220",
            "country_code": "US",
            "telephone_number": "203-688-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "13193",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "4957081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvillanueva344878@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "216 1st St",
            "city": "Mineola",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115013901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "DIMATULAC",
            "prefix": "MS.",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.