Individual provider Active NPI

Michael John Waverka

  • Certified Registered Nurse Anesthetist
  • Camden, NJ
National Provider Identifier
1821644352
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AC005493 Issued in MD
Practice address
1 Cooper PLZ
Camden, NJ 08103-1461
Phone
(800) 826-6737
NPI assigned
Aug 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 26NJ01011800 NJ
Certified Registered Nurse Anesthetist 367500000X AC005493 MD Primary

Addresses

Primary practice location

1 Cooper PLZ
Camden, NJ 08103-1461

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 359-4924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DE, MD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200324000141 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658709787 Reassigns benefits to 3 organizations
I20230427000679 DE Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658709787 Reassigns benefits to 5 organizations
I20230616000265 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658709787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayhealth Medical Center, IncGroup PAC ID 1658364740, shared by 16 NPIs, 399 clinicians
North American Partners in Anesthesia Maryland LLCGroup PAC ID 1850283144, 47 clinicians
Delaware Anesthesia Associates PAGroup PAC ID 6305825894, 34 clinicians
Anesthesia Services PAGroup PAC ID 9537064498, 201 clinicians
Northstar Anesthesia of Delaware LLCGroup PAC ID 8022428416, 125 clinicians

Practice addresses (Care Compare)

100 Wellness Way
Milford, DE 19963-4364
Phone (302) 744-4700

12500 Willowbrook Rd
Western Maryland Health System
Cumberland, MD 21502-6393
Phone (240) 964-7000

424 Savannah Rd
Lewes, DE 19958-1462
Phone (302) 441-1078

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1000

640 S State St
Dover, DE 19901-3530
Phone (302) 744-7408

701 N Clayton St
Wilmington, DE 19805-3165
Phone (214) 687-0001

Hospital & facility affiliations

  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007
  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014
  • Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032

Merit-based Incentive Payment System (MIPS)

Final score
87.96 of 100Reported as group
Quality
73.04
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AC005493MDMDCertified Registered Nurse Anesthetist
26NJ01011800NJMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia Maryland LLC CurrentSince May 23, 2023 Accepting new patients
Delaware Anesthesia Associates, PA CurrentSince Aug 8, 2023 Accepting new patients
Cooper Anesthesia Associates, PC CurrentSince Feb 24, 2020 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Bayhealth Medical Center, Inc. Current Accepting new patients
CHC Pain Management Center, PA CurrentSince Feb 24, 2020 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Oct 1, 2024 Accepting new patients
Northstar Anesthesia of Delaware, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2025 Accepting new patients
New Jersey Healthcare Specialists PC CurrentSince Sep 1, 2021 Accepting new patients
Anesthesia Services PA CurrentSince Mar 7, 2023 Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

2600 Glasgow Ave
Ste 226
Newark, DE 19702
Phone (302) 836-3539

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

3 Cooper Plz
Rm 314
Camden, NJ 08103
Phone (609) 963-6770

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

2 Stone Harbor Blvd
Cape May Court House, NJ 08210
Phone (609) 463-2000

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

501 Fellowship Rd
Ste 102
Mount Laurel, NJ 08054
Phone (856) 380-1768

100 Medical Center Way
Somers Point, NJ 08244
Phone (609) 272-0506

900 Centennial Blvd
Ste E
Voorhees, NJ 08043
Phone (856) 325-6505

900 Centennial Blvd
Bldg 1
Voorhees, NJ 08043
Phone (856) 325-6535

900 Centennial Blvd
Ste G
Voorhees, NJ 08043
Phone (856) 325-6565

900 Centennial Blvd
Voorhees, NJ 08043
Phone (856) 325-6505

218C Sunset Rd
Willingboro, NJ 08046
Phone (609) 877-0400

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Organizations & group practices 10

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 5

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": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1821644352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-359-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COOPER PLZ",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "800-826-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAVERKA",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-12",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ01011800",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "AC005493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.