Individual provider Active NPI

Michael Pribozie

  • Certified Registered Nurse Anesthetist
  • Johnstown, PA
National Provider Identifier
1831203835
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN523370L Issued in PA
Practice address
1086 Franklin St
7TH Floor
Johnstown, PA 15905-4305
Phone
(814) 534-9000
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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 RN523370L PA Primary

Addresses

Primary practice location

1086 Franklin St
7TH Floor
Johnstown, PA 15905-4305

Mailing address

884 Coon Ridge Rd
7TH Floor
Johnstown, PA 15905-5206

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070226000223 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971605759 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grove City Anesthesia and Pain Management, PLLCGroup PAC ID 4688860455, 61 clinicians

Practice addresses (Care Compare)

1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 534-9000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN523370LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Fink Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 26, 2018 Accepting new patients
University of Pittsburgh Physicians CurrentSince Nov 4, 2018 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince Sep 1, 2014 Accepting new patients
Upmc Somerset Current Accepting new patients
Upmc Somerset CurrentSince Mar 22, 2021 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince Sep 1, 2014 Accepting new patients
University of Pittsburgh Physicians CurrentSince Nov 4, 2018 Accepting new patients
Upmc Somerset CurrentSince Mar 22, 2021 Accepting new patients
Grove City Anesthesia & Pain Management, PLLC CurrentSince Jan 29, 2022 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients

Locations

620 Howard Ave
Fl 7
Altoona, PA 16601
Phone (814) 943-5901

1086 Franklin St
Ste M4000
Johnstown, PA 15905
Phone (814) 534-7560

1086 Franklin St
Fl 7
Johnstown, PA 15905
Phone (678) 593-9020

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

225 S Center Ave
Somerset, PA 15501
Phone (814) 443-5000

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 2

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1831203835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 COON RIDGE RD",
            "address_2": "7TH FLOOR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159055206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "address_2": "7TH FLOOR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-534-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIBOZIE",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN523370L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.