Active NPI
Michele Decarlo
- Certified Registered Nurse Anesthetist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 721459
- Practice address
- 1275 York Ave
New York, NY 10065-6007 - Phone
- (212) 639-2323
- NPI assigned
- Jul 26, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 721459 | NY | Primary |
| Registered Nurse | 163W00000X | RN2341799 | MA |
Addresses
Primary practice location
1275 York Ave
New York, NY 10065-6007
Mailing address
47 Chapel St
Greenwich, CT 06831-5108
Other practice location 1
360 Huntington Ave
Boston, MA 02115-5005
Phone (617) 373-3124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
47 Middlesex Tpke
Burlington, MA 01803-4945
Phone (857) 282-8100
81 Highland Ave
Salem, MA 01970-2714
Phone (617) 726-4121
Hospital & facility affiliations
- North Shore Medical Center -
- Massachusetts General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.79 of 100
- Quality
- 80.63
- Improvement activities
- 40
- Cost
- 49.95
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 721459 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Anesthesiology Group | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mass General Brigham Medical Group, Inc. | Current | Accepting new patients |
Locations
47 Middlesex Tpke
Burlington, MA 01803
Phone (857) 282-8100
399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-2063
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
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.
-
- Anesthesiology Physician
- New York, NY
- NPI 1467423020
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1619603313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 CHAPEL ST",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068315108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 YORK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656007",
"telephone_number": "212-639-2323"
}
],
"practiceLocations": [
{
"address_1": "360 Huntington Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021155005",
"country_code": "US",
"telephone_number": "617-373-3124",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DECARLO",
"first_name": "MICHELE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-26",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "721459",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2341799",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.