Individual provider Active NPI

Micah R Playman, CRNA, NP

  • Certified Registered Nurse Anesthetist
  • Mauston, WI
National Provider Identifier
1699738757
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
140007030 Issued in WI
Practice address
1050 Division St
Mauston, WI 53948
Phone
(608) 847-6161
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2362-033 WI
Certified Registered Nurse Anesthetist 367500000X 140007030 WI Primary

Addresses

Primary practice location

1050 Division St
Mauston, WI 53948

Mailing address

1050 Division St
Mauston, WI 53948-1931
Phone (608) 847-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100109000296 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698668499 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2362-033WIMDNurse Practitioner
140007030WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mile Bluff Medical Center Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2019 Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Feb 1, 2014 Accepting new patients
Mile Bluff Medical Center Inc Current Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Nov 5, 2022 Accepting new patients
Mile Bluff Medical Center Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2014 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Nov 5, 2022 Accepting new patients
Mercy Health System Corporation Past Accepting new patients
Hetz Management, S.C. Past Accepting new patients
Chiro-Med,SC PastSince Jan 1, 1999 Accepting new patients
Health Dynamics, LLC Nurse Practitioner Past Accepting new patients
Chiropractic Partners, S.C. PastSince Apr 18, 2016 Accepting new patients

Locations

1040 Division St
Mauston, WI 53948
Phone (608) 847-5000

1050 Division St
Mauston, WI 53948
Phone (608) 847-6161

501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181

28 Commerce St
Wisconsin Dells, WI 53965
Phone (608) 254-5888

Organizations & group practices 12

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1699738757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 DIVISION ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481931",
            "telephone_number": "608-847-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 DIVISION ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "53948",
            "telephone_number": "608-847-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAYMAN",
        "first_name": "MICAH",
        "middle_name": "R",
        "credential": "CRNA, NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "2362-033",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "140007030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mauston, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.