Active NPI
Robert L Heinrich, CRNA
- Certified Registered Nurse Anesthetist
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CERT # 50404
- Practice address
- 2600 Greenbush St
Lafayette, IN 47904-2477 - Phone
- (765) 448-8000
- NPI assigned
- Oct 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | ARNP9178672 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | CERT # 50404 | IN | Primary |
Addresses
Primary practice location
2600 Greenbush St
Lafayette, IN 47904-2477
Mailing address
PO Box 5545
Lafayette, IN 47903-5545
Phone (765) 448-8000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000921821 | Other | IN | ANTHEM PROVIDER NUMBER |
| 0F76004 | Other | MI | BCBS |
| 200380170 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1721 S Stephenson Ave
Iron Mountain, MI 49801-3637
Phone (906) 774-1313
3401 Ludington St
Escanaba, MI 49829-1300
Phone (906) 786-5707
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CERT # 50404 | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Michigan-Alpena PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sparrow Carson Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Ascension Borgess Allegan Hospital | Past | Accepting new patients | |
| Medical Anesthesia and Pain Management Consultants, P.a. | Past | Accepting new patients | |
| Jennifer Sassi PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Jackson Hospital Corporation | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
3401 Ludington St
Escanaba, MI 49829
Phone (906) 786-3311
1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415
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
- Brentwood, TN
- NPI 1043818156
MI, Nurse Anesthetist, Certified Registered
-
- Hospitalist Physician
- Allegan, MI
- NPI 1992668925
-
- Emergency Medicine Physician
- Jackson, KY
- NPI 1679774996
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1619305067
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Ft Myers, FL
- NPI 1619966694
-
- Anesthesiology Physician
- Carson City, MI
- NPI 1396789798
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Iron Mountain, MI
- NPI 1841188604
-
- Critical Access Hospital
- Escanaba, MI
- NPI 1922058551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456963200000",
"number": "1811987001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5545",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479035545",
"telephone_number": "765-448-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 GREENBUSH ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042477",
"telephone_number": "765-448-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINRICH",
"first_name": "ROBERT",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-27",
"last_updated": "2016-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9178672",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "CERT # 50404",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000921821",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0F76004",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200380170",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.