Individual provider Active NPI

Michael Davis, CRNA

  • Certified Registered Nurse Anesthetist
  • Chambersburg, PA
National Provider Identifier
1881042737
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN594953 Issued in PA
Practice address
112 N 7TH St
Chambersburg, PA 17201-1720
Phone
(717) 267-7164
Fax
(717) 267-7414
NPI assigned
Jun 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 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 RN594953 PA Primary

Addresses

Primary practice location

112 N 7TH St
Chambersburg, PA 17201-1720

Mailing address

785 5TH Ave Ste 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555

Other practice location 1

501 E Main St
Waynesboro, PA 17268-2353
Phone (717) 765-3425

Other practice location 2

12 St Paul Dr Ste 100
Chambersburg, PA 17201-1035
Phone (717) 217-6072

Other practice location 3

361 Alexander Spring Rd
Carlisle, PA 17015-6940
Phone (717) 782-3282

Other practice location 4

835 5th Ave
Chambersburg, PA 17201-4220
Phone (717) 217-4312

Other identifiers 2

IdentifierTypeStateIssuer
1031125780001MedicaidPA
13850828OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mdavis62264@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160726001565 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941593149 Reassigns benefits to 5 organizations
I20241106002213 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941593149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Hospital IncGroup PAC ID 3375444524, 155 clinicians

Practice addresses (Care Compare)

2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 260-1443

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians CurrentSince Jul 1, 2017 Accepting new patients
Rgal Anesthesia Services LLC CurrentSince Jul 1, 2022 Accepting new patients
Wood & Myers Oral and Maxillofacial Surgery, PC CurrentSince Sep 1, 2022 Accepting new patients
Wood & Myers Oral and Maxillofacial Surgery, P.C. Current Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2018 Accepting new patients
City Hospital Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
City Hospital, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Jul 1, 2017 Accepting new patients
Anesthesia Care Partners LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2019 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC CurrentSince Apr 1, 2018 Accepting new patients

Locations

10212 Governor Lane Blvd
Unit 1004
Williamsport, MD 21795
Phone (301) 733-4200

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

207 S 32nd St
Camp Hill, PA 17011
Phone (717) 763-1970

361 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 249-1211

825 5th Ave
Ste 102
Chambersburg, PA 17201
Phone (717) 262-9700

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

4341 Linglestown Rd
Harrisburg, PA 17112
Phone (717) 545-6200

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2104 Harrisburg Pike
Ste 300
Lancaster, PA 17601
Phone (717) 544-3400

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

1075 Berkshire Blvd
Wyomissing, PA 19610
Phone (610) 374-4093

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

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 1

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": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1881042737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 5TH AVE STE 3",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014232",
            "telephone_number": "717-263-9555",
            "fax_number": "717-709-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N 7TH ST",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011720",
            "telephone_number": "717-267-7164",
            "fax_number": "717-267-7414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682353",
            "country_code": "US",
            "telephone_number": "717-765-3425",
            "fax_number": "717-765-3478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 St Paul Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011035",
            "country_code": "US",
            "telephone_number": "717-217-6072",
            "fax_number": "717-217-6952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "361 Alexander Spring Rd",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170156940",
            "country_code": "US",
            "telephone_number": "717-782-3282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "835 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172014220",
            "country_code": "US",
            "telephone_number": "717-217-4312",
            "fax_number": "717-217-4314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MICHAEL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN594953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031125780001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13850828",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdavis62264@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "361 Alexander Spring Rd",
            "city": "Carlisle",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170156940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.