Individual provider Active NPI

Michael Justin York, CRNA

  • Certified Registered Nurse Anesthetist
  • Bowling Green, KY
National Provider Identifier
1578749347
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
45475 Issued in KY
Practice address
250 Park St
Bowling Green, KY 42101-1760
Phone
(270) 745-1000
Fax
(270) 393-1913
NPI assigned
Jan 11, 2008
Last updated
Jan 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 45475 KY Primary

Addresses

Primary practice location

250 Park St
Bowling Green, KY 42101-1760

Mailing address

350 Park St
Ste 203
Bowling Green, KY 42101-1784
Phone (270) 393-1912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110713000483 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264515717 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Anesthesia Associates IncGroup PAC ID 2961407895, 9 clinicians

Practice addresses (Care Compare)

1114 W Madison Ave
Athens, FL 37303-4150

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45475KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia in Motion LLC Nurse Anesthetist, Certified Registered CurrentSince May 15, 2024 Accepting new patients
Foothills Anesthesia Associates PC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2023 Accepting new patients
Athens Anesthesia Associates, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Blount Memorial Physician Group, Inc CurrentSince Oct 14, 2023 Accepting new patients
Lifelinc Anesthesia II, PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2020 Accepting new patients
Commonwealth Anesthesia, PSC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia & Pain Specialists of Bowling Green PLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1114 W Madison Ave
Athens, TN 37303
Phone (423) 744-3256

5751 Uptain Rd
Ste 100
Chattanooga, TN 37411
Phone (423) 855-8406

127 Saundersville Rd
Hendersonvlle, TN 37075
Phone (615) 265-8038

1706 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 983-0073

463 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5100

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017

100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1578749347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PARK ST",
            "address_2": "STE 203",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011784",
            "telephone_number": "270-393-1912",
            "fax_number": "270-393-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011760",
            "telephone_number": "270-745-1000",
            "fax_number": "270-393-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORK",
        "first_name": "MICHAEL",
        "middle_name": "JUSTIN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "45475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.