Active NPI
Michelle Kay Dunlevy, CRNA
- Certified Registered Nurse Anesthetist
- Zanesville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- COA 11855-NA
- Practice address
- 2951 Maple Ave
Zanesville, OH 43701 - Phone
- (740) 455-4937
- Fax
- (740) 455-4931
- NPI assigned
- Jun 2, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.290639-COA1 | OH | |
| Registered Nurse | 163W00000X | RN290639 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | COA 11855-NA | OH | Primary |
Addresses
Primary practice location
2951 Maple Ave
Zanesville, OH 43701
Mailing address
2951 Maple Ave
Zanesville, OH 43701
Phone (740) 455-4937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3094548 | Medicaid | OH |
Other names 1
- Michelle K. Wilfong
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2907 Bell St
Zanesville, OH 43701-1720
Phone (740) 455-6300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.290639-COA1 | OH | MD | Registered Nurse |
| RN290639 | OH | MD | Registered Nurse |
| COA 11855-NA | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Ohio LLC | Current | Accepting new patients | |
| Genesis Anesthesia Providers, LLC | Current | Accepting new patients |
Locations
1341 Clark St
Cambridge, OH 43725
Phone (614) 439-8900
2615 E High St
Springfield, OH 45505
Phone (888) 861-3994
2907 Bell St
Zanesville, OH 43701
Phone (740) 455-6300
2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000
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
- Zanesville, OH
- NPI 1295205433
-
- Anesthesiology Physician
- Springfield, OH
- NPI 1417276429
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Zanesville, OH
- NPI 1598868655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328054400000",
"number": "1730409681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2951 MAPLE AVE",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "43701",
"telephone_number": "740-455-4937",
"fax_number": "740-455-4931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2951 MAPLE AVE",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "43701",
"telephone_number": "740-455-4937",
"fax_number": "740-455-4931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNLEVY",
"first_name": "MICHELLE",
"middle_name": "KAY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-02",
"last_updated": "2012-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.290639-COA1",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN290639",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "COA 11855-NA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3094548",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "WILFONG",
"middle_name": "K.",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Zanesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.