Active NPI
Michelle Countouriotis, CRNA
- Certified Registered Nurse Anesthetist
- Fort Bragg, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN 105999
- Practice address
- 2817 Reilly Road MCXC-Cod Credentials
Womack Army Medical Center
Fort Bragg, NC 28310-7324 - Phone
- (910) 907-8922
- Fax
- (910) 907-6069
- NPI assigned
- Feb 12, 2013
- Sex
- Female
- 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 | RN 105999 | AZ | Primary |
Addresses
Primary practice location
2817 Reilly Road MCXC-Cod Credentials
Womack Army Medical Center
Fort Bragg, NC 28310-7324
Mailing address
2817 Reilly St
Womack Army Medical Center
Fort Bragg, NC 28310-7324
Phone (910) 907-8922
Other names 1
- Ms. Michelle Ripka
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200218001789 | NC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9234566910 | Reassigns benefits to 4 organizations |
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
- Anesthesia Care Services PA
Practice addresses (Care Compare)
2041 Valleygate Dr
Suite 101
Fayetteville, NC 28304-3746
Phone (910) 223-1620
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.38 of 100
- Quality
- 77.5
- Improvement activities
- 20
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 105999 | AZ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Professional Anesthesia Services PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Carolina Regional Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Care Services, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Carolina Anesthesia Associates PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Salem Professional Anesthesia Services | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
128 Peachtree Ln
Ste B
Advance, NC 27006
Phone (336) 998-3396
2041 Valleygate Dr
Ste 101
Fayetteville, NC 28304
Phone (910) 223-7011
2730 Georgia Rd
Franklin, NC 28734
Phone (828) 349-3636
3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000
3812 N Elm St
Greensboro, NC 27455
Phone (336) 294-1833
205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211
5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011
Organizations & group practices 5
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.
-
- Certified Registered Nurse Anesthetist
- Forest, VA
- NPI 1609833474
NC, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Statesville, NC
- NPI 1699723791
NC, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Pinehurst, NC
- NPI 1891072609
NC, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Greensboro, NC
- NPI 1538171897
NC, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Advance, NC
- NPI 1992044564
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360627200000",
"number": "1578802427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 REILLY ST",
"address_2": "WOMACK ARMY MEDICAL CENTER",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283107324",
"telephone_number": "910-907-8922",
"fax_number": "910-907-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 REILLY ROAD MCXC-COD CREDENTIALS",
"address_2": "WOMACK ARMY MEDICAL CENTER",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283107324",
"telephone_number": "910-907-8922",
"fax_number": "910-907-6069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUNTOURIOTIS",
"first_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-12",
"last_updated": "2013-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "RN 105999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "RIPKA",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.