Individual provider Active NPI

Michael Tennier, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Portage, WI
National Provider Identifier
1922084615
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
132225-030 Issued in WI
Practice address
2817 New Pinery Rd
Portage, WI 53901-9240
Phone
(608) 742-4131
Fax
(608) 745-5161
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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 132225-030 WI Primary

Addresses

Primary practice location

2817 New Pinery Rd
Portage, WI 53901-9240

Mailing address

2817 New Pinery Rd
Portage, WI 53901-9240
Phone (608) 617-2506

Other identifiers 2

IdentifierTypeStateIssuer
054407OtherCRNA RECERTIFICATION CARD
4432000MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050902000704 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799717393 Reassigns benefits to 18 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Association of Hospital Anesthesiologists SCGroup PAC ID 3476539875, 84 clinicians
Aspirus Riverview Hospital and Clinics IncGroup PAC ID 4587658182, 166 clinicians
Racine Anesthesia Services LLCGroup PAC ID 8628103777, 81 clinicians

Practice addresses (Care Compare)

225 Memorial Dr
Berlin, WI 54923-1243
Phone (920) 361-1313

410 Dewey St
Wisconsin Rapids, WI 54494-4715
Phone (715) 423-6060

500 S Oakwood Rd
Oshkosh, WI 54904-7944
Phone (920) 223-2000

Hospital & facility affiliations

  • Thedacare Medical Center - Berlin Inc Hospital, Berlin, WI, CCN 521355
  • Thedacare Regional Med Ctr - Neenah Hospital, Neenah, WI, CCN 520045
  • Aspirus Riverview Hospital & Clinics Inc Hospital, Wisconsin Rapids, WI, CCN 520033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
132225-030WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Edgerton Hospital and Health Services, Inc CurrentSince Aug 21, 2019 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Oct 2, 2019 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Sep 16, 2022 Accepting new patients
Prairie Ridge Health, Inc. Current Accepting new patients
Memorial Hospital Inc CurrentSince Mar 1, 2020 Accepting new patients
Flambeau Hospital Inc CurrentSince Sep 16, 2022 Accepting new patients
Prairie Ridge Health, Inc. Current Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Sep 16, 2020 Accepting new patients
Prairie Ridge Health, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Flambeau Hospital Inc CurrentSince Sep 16, 2022 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Midwest Alliance Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
Prairie Ridge Health, Inc. CurrentSince Mar 6, 2017 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Prairie Ridge Health Inc. CurrentSince Mar 6, 2017 Accepting new patients
Stateline Anesthesiologists SC CurrentSince Jan 28, 2024 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Sep 16, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Sep 16, 2020 Accepting new patients
Racine Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2024 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. Current Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc. CurrentSince Oct 2, 2019 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Sep 16, 2020 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Aug 1, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Sep 16, 2020 Accepting new patients
Marshfield Clinic Inc CurrentSince Sep 16, 2020 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Oct 2, 2019 Accepting new patients
Edgerton Hospital and Health Services Inc. CurrentSince Aug 21, 2019 Accepting new patients
Association of Hospital Anesthesiologists SC CurrentSince Apr 1, 2024 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc Current Accepting new patients
Laboratory Corportation of America Holdings Past Accepting new patients
Anesthesia Associates of Wisconsin Rapids, S.C. Past Accepting new patients

Locations (25 of 42)

7395 Solutions Ctr
Chicago, IL 60677

29980 Network Pl
Chicago, IL 60673

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

707 S University Ave
Beaver Dam, WI 53916
Phone (920) 887-4006

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042

1515 Park Ave
Columbus, WI 53925
Phone (920) 623-1200

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

11101 N Sherman Rd
Edgerton, WI 53534
Phone (608) 884-1695

N112W15415 Mequon Rd
Germantown, WI 53022
Phone (262) 250-7800

736 Ford St
Kimberly, WI 54136

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1550 Midway Pl
Menasha, WI 54952
Phone (920) 727-8030

13133 N Port Washington Rd
Ste 118
Mequon, WI 53097
Phone (262) 243-7470

1001 W Glen Oaks Ln
Ste 105
Mequon, WI 53092
Phone (414) 258-8314

13133 N Port Washington Rd
Ste 116
Mequon, WI 53097
Phone (262) 243-3700

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

831 Arthur Dr
Milton, WI 53563
Phone (608) 868-3526

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

Interoperability endpoints

  • Direct secure messaging: mtennier635925@direct.gundersenhealth.org
  • Direct secure messaging: mtennier266464@direct-ehr-ssmhc.com
  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/a87187e5-fe2f-447e-bf32-4eeb3954a735/

Organizations & group practices 32

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.

View all 32

Hospital & facility affiliations 10

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1922084615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 NEW PINERY RD",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539019240",
            "telephone_number": "608-617-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 NEW PINERY RD",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539019240",
            "telephone_number": "608-742-4131",
            "fax_number": "608-745-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNIER",
        "first_name": "MICHAEL",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "132225-030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNA RECERTIFICATION CARD",
            "identifier": "054407",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4432000",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "1000 N Oak Ave",
            "city": "Marshfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544495703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portage, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.