Individual provider Active NPI

Michele L Kurisky, CRNA

  • Certified Registered Nurse Anesthetist
  • Leesburg, VA
National Provider Identifier
1669408977
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AC004758 Issued in MD
Practice address
44045 Riverside Pkwy
Leesburg, VA 20176-5101
Phone
(703) 858-6000
Fax
(571) 209-6465
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024166189 VA
Certified Registered Nurse Anesthetist 367500000X AC004758 MD Primary

Addresses

Primary practice location

44045 Riverside Pkwy
Leesburg, VA 20176-5101

Mailing address

3100 Spring Forest Rd
Suite 130
Raleigh, NC 27616-2880
Phone (919) 882-0705

Other identifiers 1

IdentifierTypeStateIssuer
1669408977MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041102000167 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658332283 Reassigns benefits to 5 organizations
I20230103000162 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658332283 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stonesprings Anesthesia Associates LTDGroup PAC ID 8921300971, 28 clinicians
Inova Cares - CommunityGroup PAC ID 9537526330, 187 clinicians

Practice addresses (Care Compare)

24440 Stone Springs Blvd
Dulles, VA 20166-2247
Phone (703) 471-0919

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000

Hospital & facility affiliations

  • Stonesprings Hospital Center Hospital, Dulles, VA, CCN 490145

Merit-based Incentive Payment System (MIPS)

Final score
63.85 of 100Reported as group
Quality
57.47
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AC004758MDMDCertified Registered Nurse Anesthetist
0024166189VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Virginia, PC CurrentSince Jul 30, 2012 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Jul 30, 2012 Accepting new patients
First Colonies Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 12, 2022 Accepting new patients
Stonesprings Anesthesia Associates, LTD CurrentSince May 1, 2024 Accepting new patients
Inova Cares - Community CurrentSince Jun 12, 2023 Accepting new patients
Outpatient Anesthesia Services of Reston, LTD CurrentSince Jul 27, 2011 Accepting new patients
Valley Health Anesthesia Services, LLC CurrentSince Jan 1, 2025 Accepting new patients
North American Partners in Anesthesia Maryland LLC CurrentSince Apr 30, 2024 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Loudoun Anesthesia Associates Past Accepting new patients

Locations

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

6430 Rockledge Dr
Ste 160
Bethesda, MD 20817
Phone (301) 312-6144

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770

11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

44035 Riverside Pkwy
Ste 200
Leesburg, VA 20176
Phone (571) 209-6465

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

224D Cornwall St NW
Leesburg, VA 20176
Phone (571) 291-3458

1860 Town Center Dr
Ste G100
Reston, VA 20190
Phone (703) 433-8700

4 Pidgeon Hill Dr
Sterling, VA 20165
Phone (703) 433-9230

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

Organizations & group practices 11

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1669408977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SPRING FOREST RD",
            "address_2": "SUITE 130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162880",
            "telephone_number": "919-882-0705",
            "fax_number": "919-873-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44045 RIVERSIDE PKWY",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201765101",
            "telephone_number": "703-858-6000",
            "fax_number": "571-209-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURISKY",
        "first_name": "MICHELE",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024166189",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "AC004758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669408977",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.