Individual provider Active NPI

Michelle L Cacchione, CRNA

  • Certified Registered Nurse Anesthetist
  • Ashtabula, OH
National Provider Identifier
1851385942
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN310794L Issued in PA
Practice address
2893 N. Ridge East
Ashtabula, OH 44004
Phone
(440) 998-0000
Fax
(440) 998-0003
NPI assigned
Sep 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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 RN310794L PA Primary

Addresses

Primary practice location

2893 N. Ridge East
Ashtabula, OH 44004

Mailing address

5529 Shadybrook Dr
Erie, PA 16506-6508
Phone (440) 998-0000

Other identifiers 1

IdentifierTypeStateIssuer
2309997MedicaidOH

Other names 1

  • Miss Michelle L Pray Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN310794LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2018 Accepting new patients
Premier Anesthesia of New York, P.C. Nurse Anesthetist, Certified Registered CurrentSince Nov 12, 2015 Accepting new patients
Saas Ambulatory Services Nurse Anesthetist, Certified Registered Past Accepting new patients
Greater Erie Surgery Center, LLC PastSince Feb 7, 2019 Accepting new patients

Locations

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

5515 Peach St
Erie, PA 16509
Phone (814) 864-4031

201 State St
Erie, PA 16550
Phone (814) 877-2137

5473 Village Common Dr
Ste 100
Erie, PA 16506
Phone (814) 836-0770

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1851385942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5529 SHADYBROOK DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165066508",
            "telephone_number": "440-998-0000",
            "fax_number": "440-998-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2893 N. RIDGE EAST",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "44004",
            "telephone_number": "440-998-0000",
            "fax_number": "440-998-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACCHIONE",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-06",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN310794L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2309997",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "PRAY",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.