Individual provider Active NPI

Carl Miller, CRNA

  • Certified Registered Nurse Anesthetist
  • Hazen, ND
National Provider Identifier
1902227283
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R32433 Issued in ND
Practice address
510 8TH Ave NE
Hazen, ND 58545-4637
Phone
(701) 748-2225
Fax
(701) 748-5757
NPI assigned
Jan 3, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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 R32433 ND Primary

Addresses

Primary practice location

510 8TH Ave NE
Hazen, ND 58545-4637

Mailing address

510 8TH Ave NE
Hazen, ND 58545-4637
Phone (701) 748-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140505002262 ND Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294968822 Reassigns benefits to 3 organizations
I20260625000316 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294968822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hazen Memorial Hospital AssociationGroup PAC ID 3779558366, 22 clinicians

Practice addresses (Care Compare)

510 8TH Ave NE
Hazen Memorial Hospital
Hazen, ND 58545-4637
Phone (701) 748-2225

Hospital & facility affiliations

  • Sakakawea Medical Center - Cah Hospital, Hazen, ND, CCN 351310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R32433NDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St Alexius Medical Center CurrentSince Apr 7, 2014 Accepting new patients
St. Alexius Medical Center Nurse Anesthetist, Certified Registered CurrentSince Apr 7, 2014 Accepting new patients
St. Alexius Medical Center Current Accepting new patients
Bismarck Surgical Associates LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2014 Accepting new patients
Hazen Memorial Hospital Association Current Accepting new patients
Hazen Memorial Hospital Association CurrentSince Jan 18, 2014 Accepting new patients
Hazen Memorial Hospital Association CurrentSince Jan 18, 2014 Accepting new patients

Locations

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

106 E Greenfield Ln
Bismarck, ND 58503
Phone (701) 221-2299

510 8th Ave NE
Hazen, ND 58545
Phone (701) 748-2225

Organizations & group practices 8

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": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1902227283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 8TH AVE NE",
            "city": "HAZEN",
            "state": "ND",
            "postal_code": "585454637",
            "telephone_number": "701-748-2225",
            "fax_number": "701-748-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 8TH AVE NE",
            "city": "HAZEN",
            "state": "ND",
            "postal_code": "585454637",
            "telephone_number": "701-748-2225",
            "fax_number": "701-748-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CARL",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ND",
            "license": "R32433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazen, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.