Individual provider Active NPI

Myra Ray, CRNA

  • Certified Registered Nurse Anesthetist
  • Portage, MI
National Provider Identifier
1588772016
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9223618 Issued in FL
Practice address
7240 Mackenzie LN
Portage, MI 49024-4414
Phone
(269) 321-9090
Fax
(269) 321-9098
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 ARNP9223618 FL Primary

Addresses

Primary practice location

7240 Mackenzie LN
Portage, MI 49024-4414

Mailing address

7240 Mackenzie LN
Portage, MI 49024-4414
Phone (269) 321-9090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070119000039 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486694148 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Battle Creek, PCGroup PAC ID 3274421391, 28 clinicians
Apollo Medical Group of Michigan PLLCGroup PAC ID 6103354329, 24 clinicians

Practice addresses (Care Compare)

300 N Ave
Battle Creek, MI 49017-3307
Phone (616) 966-8000

3200 W Centre Ave
Suite 101
Portage, MI 49024-4889
Phone (269) 323-9950

Hospital & facility affiliations

  • Bronson Battle Creek Hospital Hospital, Battle Creek, MI, CCN 230075

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apollo Medical Group of Michigan PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 2, 2025 Accepting new patients
Anesthesia Associates of Battle Creek, PC Nurse Anesthetist, Certified Registered CurrentSince Nov 13, 2006 Accepting new patients

Locations

300 North Ave
Battle Creek, MI 49017
Phone (269) 966-8000

3200 W Centre Ave
Ste 101
Portage, MI 49024
Phone (269) 323-9905

Organizations & group practices 2

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.

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588772016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7240 MACKENZIE LN",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244414",
            "telephone_number": "269-321-9090",
            "fax_number": "269-321-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7240 MACKENZIE LN",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244414",
            "telephone_number": "269-321-9090",
            "fax_number": "269-321-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "MYRA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9223618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.