Active NPI
Michael Tillman, CRNA
- Certified Registered Nurse Anesthetist
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9321940
- Practice address
- 4901 Grande Dr
Pensacola, FL 32504-5935 - Phone
- (850) 477-7042
- Fax
- (850) 474-9060
- NPI assigned
- Feb 7, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9321940 | FL | Primary |
Addresses
Primary practice location
4901 Grande Dr
Pensacola, FL 32504-5935
Mailing address
4901 Grande Dr
Pensacola, FL 32504-5935
Phone (850) 477-7042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 S Utica Ave
HC Med Ctr
Tulsa, OK 74104-4012
Phone (918) 579-1000
6140 S Memorial Dr
Tulsa, OK 74133-1933
Phone (918) 252-2020
9840 E 81 St
Suite 200
Tulsa, OK 74133-4584
Phone (918) 872-8447
Hospital & facility affiliations
- Hillcrest Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.73 of 100
- Quality
- 95.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Tulsa Anesthesia LLC | Current | Accepting new patients | |
| Langley Holdings, LLC | Current | Accepting new patients | |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Triad Eye Institute PLLC | Current | Accepting new patients |
Locations
3615 SE Kentucky St
Bartlesville, OK 74006
Phone (800) 354-2020
1202 N Muskogee Pl
Claremore, OK 74017
Phone (918) 341-2556
1027 E Cherry St
Cushing, OK 74023
Phone (918) 225-2915
63223 E 290 Rd
Grove, OK 74344
Phone (918) 786-3931
2401 W Main St
Henryetta, OK 74437
Phone (918) 650-1100
1001 E Wyandotte Ave
McAlester, OK 74501
Phone (918) 302-9232
3131 Military Blvd
Muskogee, OK 74401
Phone (918) 290-2300
10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172
111 N Bailey St
Pryor, OK 74361
Phone (918) 824-7791
8801 S 101st East Ave
Tulsa, OK 74133
Phone (800) 965-4565
6140 S Memorial Dr
Tulsa, OK 74133
Phone (918) 252-2020
1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090
9840 E 81st St
Ste 200
Tulsa, OK 74133
Phone (918) 872-8447
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
Organizations & group practices 5
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 Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered, OK
-
- Anesthesiology Physician
- Tulsa, OK
- NPI 1104286640
-
- Ophthalmology Physician
- Tulsa, OK
- NPI 1093743213
-
- Anesthesiology Physician
- Tulsa, OK
- NPI 1770891475
-
- Ambulatory Surgical Clinic/Center
- Tulsa, OK
- NPI 1225497019
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486425600000",
"number": "1669910949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 GRANDE DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325045935",
"telephone_number": "850-477-7042",
"fax_number": "850-474-9060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 GRANDE DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325045935",
"telephone_number": "850-477-7042",
"fax_number": "850-474-9060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILLMAN",
"first_name": "MICHAEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-07",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9321940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.