Michael Ray Mabrey, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1-033536 Issued in AL

Practice address

702 N Main St
Opp, AL 36467-1626

Phone

(334) 493-3541

Fax

(334) 493-9664

NPI assigned

May 30, 2006

Last updated

May 31, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

George Washington University School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Anesthesia, LLCGroup PAC ID 6901158161, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mizell Memorial Hospital Hospital, Opp, AL, CCN 010007

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Andalusia, AL
  • NPI 1598242497

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Associates

  • Anesthesiology Physician
  • Gadsden, AL
  • NPI 1821013905
  Medicare reassignment NPD
• Mizell Memorial Hospital, Inc.

  • Rural Acute Care Hospital
  • Opp, AL
  • NPI 1013937705
  Medicare reassignment NPD
• Epix Anesthesia of Alabama LLC

  • Anesthesiology Physician
  • Roswell, GA
  • NPI 1629427059

  AL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Mizell Memorial Hospital, Inc.

  dba Elba Healthcare

  • Family Medicine Physician
  • Elba, AL
  • NPI 1033863170
  NPD
• Mizell Memorial Hospital, Inc.

  • Family Medicine Physician
  • Opp, AL
  • NPI 1760728455
  NPD
• Vaughan Regional Medical Center LLC

  dba Vaughan Regional Medical Center-Parkway Campus

  • Anesthesiology Physician
  • Selma, AL
  • NPI 1114088846

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Vaughan Regional Medical Center LLC

  dba Marion Clinic

  • Rural Health Clinic/Center
  • Marion, AL
  • NPI 1770600066
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mizell Memorial Hospital, Inc.

  • Rural Acute Care Hospital
  • Opp, AL
  • NPI 1013937705
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1841247111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1010",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364671010",
            "telephone_number": "334-493-3541",
            "fax_number": "334-493-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N MAIN ST",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364671626",
            "telephone_number": "334-493-3541",
            "fax_number": "334-493-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABREY",
        "first_name": "MICHAEL",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "268206",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-033536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "PO1383957",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - CRNA ONLY",
            "identifier": "186VP/028G4",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000026302",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVICER NUMBER",
            "identifier": "051026302MAB",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - CRNA ONLY",
            "identifier": "Q47286C545",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth J Crowe MD
• Kellie Victoria King, L.M.T.
• Sydney Lynn Kinsaul
• Larrys Prescriptions Inc (Larrys Prescriptions)
• Kari Ann Logiotatos
• Vincent E Martin Jr., M.D.
• Michael Aaron Maschek, DPM
• April McDaniel
• Rebecca Elaine McMillian, MED CCC SLP
• Kristi J Meeks, LPC

• Certified Registered Nurse Anesthetist in Opp, AL
• Providers in Opp, AL by specialty
• Certified Registered Nurse Anesthetist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.

Verify at the official NPI Registry.