Active NPI
Michael Ewanowski
- Certified Registered Nurse Anesthetist
- Loveland, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- C-APN.0100302-C-CRNA
- Practice address
- 2500 Rocky Mountain Ave
Loveland, CO 80538-9004 - Phone
- (970) 624-2500
- NPI assigned
- Sep 15, 2022
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 10197649-3102 | UT | |
| Certified Registered Nurse Anesthetist | 367500000X | C-APN.0100302-C-CRNA | CO | Primary |
Addresses
Primary practice location
2500 Rocky Mountain Ave
Loveland, CO 80538-9004
Mailing address
2441 S 800 E
Salt Lake City, UT 84106-1785
Phone (801) 641-2791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230202000442 | CO | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3375915291 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northern Colorado Anesthesia Professionals PLLC
Practice addresses (Care Compare)
1024 S Lemay Ave
Ncap PLLC
Fort Collins, CO 80524-3929
Phone (970) 495-7000
2500 Rocky Mountain Ave
Loveland, CO 80538-9004
6767 29TH St
Greeley, CO 80634-5474
Phone (970) 224-2985
Hospital & facility affiliations
- Medical Center of the Rockies
- Poudre Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10197649-3102 | UT | MD | Registered Nurse |
| C-APN.0100302-C-CRNA | CO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Colorado Anesthesia Professionals PLLC | Current | Accepting new patients |
Locations
3702 Automation Way
Ste 103
Fort Collins, CO 80525
Phone (970) 922-3622
1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000
2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425
Organizations & group practices 1
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
- Fort Collins, CO
- NPI 1851389613
CO
Hospital & facility affiliations 18
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": "1663200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1629790647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2441 S 800 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841061785",
"telephone_number": "801-641-2791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 ROCKY MOUNTAIN AVE",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805389004",
"telephone_number": "970-624-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWANOWSKI",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-15",
"last_updated": "2023-01-10",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "UT",
"license": "10197649-3102",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "C-APN.0100302-C-CRNA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.