Active NPI
Michael Jeremy Anderson, CRNA
- Certified Registered Nurse Anesthetist
- Iowa City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- D-121126
- Practice address
- 200 Hawkins Dr
Iowa City, IA 52242-1009 - Phone
- (319) 356-2633
- Fax
- (319) 356-2940
- NPI assigned
- Feb 12, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | D-121126 | IA | Primary |
Addresses
Primary practice location
200 Hawkins Dr
Iowa City, IA 52242-1009
Mailing address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-2633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090513000265 | IA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5597814061 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Waverly Health CenterMason City Ambulatory Surgery Center, LLC
Practice addresses (Care Compare)
312 9TH St SW
Waverly, IA 50677-2929
Phone (319) 352-4120
990 4TH St SW
Mason City Ambulatory CT LLC
Mason City, IA 50401-2861
Phone (641) 494-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-121126 | IA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M & M Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mason City Ambulatory Surgery Center, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Waverly Health Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Waverly Health Center | Current | Accepting new patients | |
| Mason City Ambulatory Surgery Center, LLC | Past | Accepting new patients |
Locations
2963 Northgate Dr
Iowa City, IA 52245
Phone (319) 248-1500
990 4th St SW
Mason City, IA 50401
Phone (641) 494-2000
1750 Jordan St
North Liberty, IA 52317
Phone (319) 569-3444
312 9th St SW
Waverly, IA 50677
Phone (319) 352-4120
1455 29th St
West Des Moines, IA 50266
Phone (515) 267-1800
1300 37th St
West Des Moines, IA 50266
Phone (515) 224-4711
Organizations & group practices 13
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
- Mason City, IA
- NPI 1689251720
IA, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Waverly, IA
- NPI 1033125463
IA, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Ankeny, IA
- NPI 1326668328
IA, Nurse Anesthetist, Certified Registered
-
- Rural Health Clinic/Center
- Janesville, IA
- NPI 1184094534
-
- Ambulatory Surgical Clinic/Center
- Mason City, IA
- NPI 1902841398
-
- Medicare Defined Swing Bed Hospital Unit
- Waverly, IA
- NPI 1124043153
-
- Rural Health Clinic/Center
- Waverly, IA
- NPI 1255659124
-
- Clinic Pharmacy
- Waverly, IA
- NPI 1326027988
-
- Critical Access Hospital
- Waverly, IA
- NPI 1447299953
-
- Rural Health Clinic/Center
- Nashua, IA
- NPI 1447432174
-
- Family Medicine Physician
- Waverly, IA
- NPI 1598959371
-
- Rural Health Clinic/Center
- Waverly, IA
- NPI 1649509514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252540800000",
"number": "1770722951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-356-2633",
"fax_number": "319-356-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-356-2633",
"fax_number": "319-356-2940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "MICHAEL",
"middle_name": "JEREMY",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-12",
"last_updated": "2009-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "D-121126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.