Active NPI
Kyle Joseph Manthei, DNP, CRNA, BSN, RN
- Certified Registered Nurse Anesthetist
- Lapeer, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704362710
- Practice address
- 1375 N Main St
Lapeer, MI 48446-1350 - Phone
- (810) 667-5500
- Fax
- (810) 667-5790
- NPI assigned
- May 11, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 105909 | WV | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704362710 | MI | Primary |
Addresses
Primary practice location
1375 N Main St
Lapeer, MI 48446-1350
Mailing address
4055 Harbor Point Dr
Norton Shores, MI 49441-4662
Phone (810) 358-9364
Other practice location 1
812 Gorman Ave
Elkins, WV 26241-3181
Phone (304) 636-3300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.davishealthsystem.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, MI, OH
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1400 W Main St
Anesthesiology Department
Bellevue, OH 44811-9088
Phone (419) 483-4040
300 E Warwick Dr
Alma, MI 48801-1014
Phone (989) 463-1101
Hospital & facility affiliations
- Bellevue Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Certified Registered Nurse, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Michigan II PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Clinical Colleagues Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Davis Memorial Hospital | Current | Accepting new patients | |
| Monaco Management, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Davis Memorial Hospital | Current | Accepting new patients |
Locations
300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104
1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033
3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063
3663 N Country Dr
Traverse City, MI 49684
Phone (231) 252-1228
135 S Prospect St
Ypsilanti, MI 48198
Phone (734) 547-1060
1400 W Main St
Bellevue, OH 44811
Phone (330) 563-0641
1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077
812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300
Organizations & group practices 6
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
- Alma, MI
- NPI 1568125177
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Van Wert, OH
- NPI 1992725766
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Elkins, WV
- NPI 1619964806
-
- Anesthesiology Physician
- Irving, TX
- NPI 1437268026
MI, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Grand Rapids, MI
- NPI 1124063078
-
- Community/Retail Pharmacy
- Elkins, WV
- NPI 1700663226
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bellevue, OH
- NPI 1134161623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1740802974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4055 HARBOR POINT DR",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494414662",
"telephone_number": "810-358-9364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 N MAIN ST",
"city": "LAPEER",
"state": "MI",
"postal_code": "484461350",
"telephone_number": "810-667-5500",
"fax_number": "810-667-5790"
}
],
"practiceLocations": [
{
"address_1": "812 Gorman Ave",
"address_purpose": "LOCATION",
"city": "Elkins",
"state": "WV",
"postal_code": "262413181",
"country_code": "US",
"telephone_number": "304-636-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANTHEI",
"first_name": "KYLE",
"middle_name": "JOSEPH",
"credential": "DNP, CRNA, BSN, RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-11",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "105909",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704362710",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.davishealthsystem.org",
"affiliation": "N",
"address_1": "812 Gorman Ave",
"city": "Elkins",
"state": "WV",
"country_code": "US",
"postal_code": "262413181",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lapeer, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.