Active NPI
Neal R. Popichak, CRNA
- Certified Registered Nurse Anesthetist
- Joplin, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 132744
- Practice address
- 102 West 32ND St.
Joplin, MO 64804-0000 - Phone
- (417) 347-3659
- NPI assigned
- Jun 28, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 98776 | WV | |
| Certified Registered Nurse Anesthetist | 367500000X | 132744 | MT | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 2012019388 | MO |
Addresses
Primary practice location
102 West 32ND St.
Joplin, MO 64804-0000
Mailing address
1101 26TH St S
Great Falls, MT 59405-5161
Phone (406) 731-8888
Other practice location 1
327 Medical Park Dr
Bridgeport, WV 26330-9006
Phone (681) 342-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
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
Practice addresses (Care Compare)
3010 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 216-8000
Hospital & facility affiliations
- Great Falls Clinic Hospital
- Benefis Hospitals Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012019388 | MO | MD | Certified Registered Nurse Anesthetist |
| 132744 | MT | MD | Certified Registered Nurse Anesthetist |
| 98776 | WV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMSC, LLC | Multi-Specialty | Current | Accepting new patients |
| Northstar Anesthesia of Montana | Multi-Specialty | Current | Accepting new patients |
Locations
3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095
1509 29th St S
Great Falls, MT 59405
Phone (406) 771-3500
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
- Great Falls, MT
- NPI 1265059869
Multi-Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1639109978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543449600000",
"number": "1659635217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 26TH ST S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594055161",
"telephone_number": "406-731-8888",
"fax_number": "406-731-8876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 WEST 32ND ST.",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648040000",
"telephone_number": "417-347-3659"
}
],
"practiceLocations": [
{
"address_1": "327 Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "WV",
"postal_code": "263309006",
"country_code": "US",
"telephone_number": "681-342-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POPICHAK",
"first_name": "NEAL",
"middle_name": "R.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-28",
"last_updated": "2018-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "98776",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MT",
"license": "132744",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2012019388",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.