Active NPI
Michael E Tadlock, CRNA
- Certified Registered Nurse Anesthetist
- Pipestone, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 223779-0
- Practice address
- 916 4TH Ave. SW
Pipestone, MN 56164 - Phone
- (507) 825-5811
- Fax
- (563) 556-8334
- NPI assigned
- Mar 31, 2006
- Last updated
- Sep 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | D103531 | IA | |
| Certified Registered Nurse Anesthetist | 367500000X | 223779-0 | MN | Primary |
Addresses
Primary practice location
916 4TH Ave. SW
Pipestone, MN 56164
Mailing address
916 4TH Ave. SW
Pipestone, MN 56164
Phone (507) 825-5811
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44335300 | Medicaid | WI | |
| 0453241 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
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
- Sioux Center HealthFloyd Valley Healthcare
Practice addresses (Care Compare)
1101 9TH St SE
Sioux Center, IA 51250-2501
Phone (712) 722-1271
2730 Pierce St
Sioux City, IA 51104-3796
Phone (712) 294-7777
714 Lincoln St NE
Le Mars, IA 51031-3314
Phone (712) 546-3338
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D103531 | IA | MD | Certified Registered Nurse Anesthetist |
| 223779-0 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sioux Center Health | Current | Accepting new patients | |
| Sioux Center Health | Current | Accepting new patients | |
| Floyd Valley Healthcare | Current | Accepting new patients | |
| Floyd Valley Healthcare | Current | Accepting new patients | |
| Sioux Center Health | Current | Accepting new patients | |
| Floyd Valley Healthcare | Current | Accepting new patients | |
| Hegg Memorial Hospital | Current | Accepting new patients | |
| Hawarden Regional Healthcare | Current | Accepting new patients | |
| Dubuque Anesthesia Services, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Dubuque Anesthesia Services, PC | Past | Accepting new patients |
Locations
1111 11th St
Hawarden, IA 51023
Phone (712) 551-3100
714 Lincoln St NE
Le Mars, IA 51031
Phone (712) 546-3338
1202 21st Ave
Rock Valley, IA 51247
Phone (712) 476-8000
1101 9th St SE
Sioux Center, IA 51250
Phone (712) 722-1271
Organizations & group practices 12
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.
-
- Anesthesiology Physician
- Sioux City, IA
- NPI 1497854574
-
- Critical Access Hospital
- Le Mars, IA
- NPI 1326109315
-
dba Floyd Valley ER Services
- Emergency Medicine Physician
- Le Mars, IA
- NPI 1578625653
-
- Critical Access Hospital
- Hawarden, IA
- NPI 1841261104
-
- Critical Access Hospital
- Rock Valley, IA
- NPI 1730182569
-
- Critical Access Hospital
- Sioux Center, IA
- NPI 1326056755
-
- Critical Access Hospital
- Sioux Center, IA
- NPI 1669542981
-
dba Avera Merrill Pioneer Hospital
- Critical Access Hospital
- Rock Rapids, IA
- NPI 1750854956
-
dba Floyd Valley Pharmacy
- Community/Retail Pharmacy
- Le Mars, IA
- NPI 1710765433
-
- Family Medicine Physician
- Hawarden, IA
- NPI 1225507510
-
dba Same as Above
- Certified Registered Nurse Anesthetist
- Dubuque, IA
- NPI 1356455257
Nurse Anesthetist, Certified Registered
-
dba Same as Above
- Anesthesiology Physician
- Dubuque, IA
- NPI 1396756417
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Sioux Center, IA
- NPI 1326056755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1609837350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 4TH AVE. SW",
"city": "PIPESTONE",
"state": "MN",
"postal_code": "56164",
"telephone_number": "507-825-5811",
"fax_number": "563-556-8334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 4TH AVE. SW",
"city": "PIPESTONE",
"state": "MN",
"postal_code": "56164",
"telephone_number": "507-825-5811",
"fax_number": "563-556-8334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TADLOCK",
"first_name": "MICHAEL",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "D103531",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "223779-0",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44335300",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0453241",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pipestone, MN
- Niroashan Srikumaran, MD
- Roberta Marlene Stangeland, RN
- Theresa Stangle, DPT
- Marit Sterud, DPT
- Jennifer Marie Swanson
- Terry L. Seeman MD (Northeast Orthopedic Center)
- The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Pipestone)
- The Evangelical Lutheran Good Samaritan Society - Pipestone (Ridge View Estates Assisted Living)
- Kayla Jean Thooft, PHARMD
- Heidi M Thoreson, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.