Individual provider Active NPI

Michael R Cruz, CRNA

  • Certified Registered Nurse Anesthetist
  • McMinnville, TN
National Provider Identifier
1740364033
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN8915 Issued in TN
Practice address
1559 Sparta Rd
River Park Hospital
McMinnville, TN 37110
Phone
(423) 855-0700
NPI assigned
Oct 24, 2006
Last updated
Dec 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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 APN8915 TN Primary

Addresses

Primary practice location

1559 Sparta Rd
River Park Hospital
McMinnville, TN 37110

Mailing address

5751 Uptain Rd Ste 100
Chattanooga, TN 37411-5671
Phone (423) 855-0700

Other practice location 1

481 Interstate Dr
Manchester, TN 37355-3108
Phone (931) 728-6354

Other identifiers 3

IdentifierTypeStateIssuer
0185251OtherTNBLUE CROSS BLUE SHIELD
3600767MedicaidTN
430039253OtherTNRR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110309000413 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628038924 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sweet Dreams Anesthesia IncGroup PAC ID 0042477705, 84 clinicians
Marvel Clinic P.C.Group PAC ID 0547454811, 6 clinicians
Coffee Medical Group LLCGroup PAC ID 1850208794, 22 clinicians

Practice addresses (Care Compare)

1559 Sparta St
McMinnville, TN 37110-1316
Phone (931) 815-4000

1821 N Washington St
Tullahoma, TN 37388-2221
Phone (931) 455-2005

481 Interstate Dr
Manchester, TN 37355-3108
Phone (931) 728-6354

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8915TNMDSpeech-Language Pathologist
APN8915TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Coffee Medical Group LLC CurrentSince Oct 28, 2023 Accepting new patients
Coffee Medical Group LLC CurrentSince Oct 28, 2023 Accepting new patients
Sweet Dreams Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 13, 2025 Accepting new patients
Marvel Clinic P.C. CurrentSince May 11, 2022 Accepting new patients
Center for Day Surgery Current Accepting new patients
Quiescence Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 9, 2023 Accepting new patients
Warren Anesthesia Associates, P.C. Nurse Anesthetist, Certified Registered PastSince Oct 12, 2004 Accepting new patients

Locations

1001 McArthur St
Manchester, TN 37355
Phone (931) 728-3586

481 Interstate Dr
Manchester, TN 37355
Phone (931) 728-3586

1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544

28 White Bridge Pike
Ste 210
Nashville, TN 37205
Phone (615) 352-3000

1821 N Washington St
Tullahoma, TN 37388
Phone (931) 455-2005

Organizations & group practices 9

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 3

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1740364033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 UPTAIN RD STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115671",
            "telephone_number": "423-855-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 SPARTA RD",
            "address_2": "RIVER PARK HOSPITAL",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "37110",
            "telephone_number": "423-855-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "481 Interstate Dr",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "TN",
            "postal_code": "373553108",
            "country_code": "US",
            "telephone_number": "931-728-6354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN8915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0185251",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3600767",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "430039253",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.