Individual provider Active NPI

Michelle Renee Mann, APRN-CRNA

  • Certified Registered Nurse Anesthetist
  • McAlester, OK
National Provider Identifier
1790024560
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
89398 Issued in OK
Practice address
1 E Clark Bass Blvd
McAlester, OK 74501-4209
Phone
(918) 426-1800
Fax
(918) 748-7688
NPI assigned
Feb 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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 89398 OK Primary

Addresses

Primary practice location

1 E Clark Bass Blvd
McAlester, OK 74501-4209

Mailing address

PO Box 1547
Sedalia, MO 65302-1547
Phone (660) 826-5960

Other practice location 1

2001 Cradduck Rd
Ada, OK 74820-9400
Phone (405) 514-4786

Other practice location 2

1611 S Utica Ave
Ste 217
Tulsa, OK 74104-4909
Phone (918) 744-3664

Other identifiers 1

IdentifierTypeStateIssuer
200479680AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130427000073 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325284920 Reassigns benefits to 2 organizations
I20200430002316 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325284920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Western Oklahoma Anesthesia Consultants PLLCGroup PAC ID 4587924865, 15 clinicians
SC Anesthesia LLCGroup PAC ID 7012382468, 4 clinicians

Practice addresses (Care Compare)

1 E Clark Bass Blvd
McAlester Regional Health Center
McAlester, OK 74501-4209
Phone (918) 426-1800

2001 Cradduck Rd
Ada, OK 74820-9400
Phone (405) 514-4786

3701 E Main St
Weatherford Regional Hospital
Weatherford, OK 73096-3309
Phone (580) 772-5551

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Services of Benton County PA CurrentSince May 1, 2020 Accepting new patients
SC Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 20, 2023 Accepting new patients
Western Oklahoma Anesthesia Consultants PLLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

2001 Cradduck Rd
Ada, OK 74820
Phone (405) 514-4786

1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941

4 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6700

3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551

Interoperability endpoints

  • Direct secure messaging: michelle.mann@direct.stjohnhealthsystem.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1360713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1790024560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1547",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653021547",
            "telephone_number": "660-826-5960",
            "fax_number": "660-826-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E CLARK BASS BLVD",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014209",
            "telephone_number": "918-426-1800",
            "fax_number": "918-748-7688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Cradduck Rd",
            "address_purpose": "LOCATION",
            "city": "Ada",
            "state": "OK",
            "postal_code": "748209400",
            "country_code": "US",
            "telephone_number": "405-514-4786",
            "fax_number": "405-758-5582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 S Utica Ave",
            "address_2": "Ste 217",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741044909",
            "country_code": "US",
            "telephone_number": "918-744-3664",
            "fax_number": "918-748-7688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "APRN-CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-13",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "89398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200479680A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.