Active NPI
Michelle Marie Gates, CRNA
- Certified Registered Nurse Anesthetist
- Blacksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024166787
- Practice address
- 3700 S Main St
Anesthesia
Blacksburg, VA 24060-7017 - Phone
- (540) 953-5374
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024166787 | VA | Primary |
Addresses
Primary practice location
3700 S Main St
Anesthesia
Blacksburg, VA 24060-7017
Mailing address
PO Box 13888
Roanoke, VA 24038-3888
Phone (540) 953-5374
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841387610 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
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
Practice addresses (Care Compare)
1722 S Jefferson St
Roanoke, VA 24014-2482
Phone (540) 981-7268
1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 772-3400
2030 Stephenson Swave
Roanoke, VA 24014-1664
Phone (540) 904-6170
2107 Rosalind Swave
Roanoke, VA 24014-1745
Phone (540) 904-6170
600 W Ridge Rd
Wytheville, VA 24382-1044
Phone (276) 228-0200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024166787 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Anesthesia Network Nursing Services, PC | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiology Consultants of Virginia, Inc | Past | Accepting new patients |
Locations
110 Akers Farm Rd
Christiansburg, VA 24073
Phone (540) 382-9405
6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600
600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200
Organizations & group practices 5
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
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, VA
-
- Anesthesiology Physician
- Roanoke, VA
- NPI 1881927259
-
- Anesthesiology Physician
- Salem, VA
- NPI 1275587115
-
- Anesthesiology Physician
- San Mateo, CA
- NPI 1699067371
VA
-
- Anesthesiology Physician
- Roanoke, VA
- NPI 1225016603
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Carilion Roanoke Memorial Hospital
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
-
dba Lewisgale Hospital Montgomery
- General Acute Care Hospital
- Blacksburg, VA
- NPI 1275570376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297296000000",
"number": "1841387610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13888",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240383888",
"telephone_number": "540-953-5374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 S MAIN ST",
"address_2": "ANESTHESIA",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240607017",
"telephone_number": "540-953-5374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATES",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2011-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024166787",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841387610",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blacksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.