Individual provider Active NPI

Michael David Monfore, CRNA

  • Certified Registered Nurse Anesthetist
  • York, NE
National Provider Identifier
1699788018
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
100656 Issued in NE
Practice address
2222 N Lincoln Ave
York, NE 68467-1030
Phone
(402) 362-6671
NPI assigned
Aug 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 100656 NE Primary

Addresses

Primary practice location

2222 N Lincoln Ave
York, NE 68467-1030

Mailing address

1017 Road O
York, NE 68467-7502
Phone (402) 362-1115

Other identifiers 1

IdentifierTypeStateIssuer
NE100656MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050301000700 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860445962 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Fillmore County HospitalGroup PAC ID 9638144942, shared by 3 NPIs, 20 clinicians
York General HospitalGroup PAC ID 9234021080, shared by 6 NPIs, 20 clinicians

Practice addresses (Care Compare)

1900 F St
Geneva, NE 68361-2229
Phone (402) 759-3167

2222 N Lincoln Ave
York, NE 68467-1030
Phone (402) 362-6671

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fillmore County Hospital CurrentSince Dec 1, 2024 Accepting new patients
York General Hospital CurrentSince Aug 2, 2025 Accepting new patients
Fillmore County Hospital Current Accepting new patients
York General Hospital CurrentSince May 6, 1998 Accepting new patients
York General Hospital Nurse Anesthetist, Certified Registered CurrentSince May 6, 1998 Accepting new patients
Warren Memorial Hospital Past Accepting new patients
Kearney Anesthesia Associates PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Warren Memorial Hospital Past Accepting new patients

Locations

1900 F St
Geneva, NE 68361
Phone (402) 759-3167

300 N Columbia Ave
Seward, NE 68434
Phone (402) 643-2971

2222 N Lincoln Ave
York, NE 68467
Phone (402) 362-0420

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699788018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 ROAD O",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684677502",
            "telephone_number": "402-362-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N LINCOLN AVE",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684671030",
            "telephone_number": "402-362-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONFORE",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "100656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NE100656",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.