Active NPI
Michael Tennier, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Portage, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 132225-030
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 054407 | Other | CRNA RECERTIFICATION CARD | |
| 4432000 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
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
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
- Thedacare Regional Med Ctr - Neenah
- Aspirus Riverview Hospital & Clinics Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132225-030 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgerton Hospital and Health Services, Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Prairie Ridge Health, Inc. | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Prairie Ridge Health, Inc. | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Prairie Ridge Health, Inc. | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | 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 | Current | Accepting new patients |
| Prairie Ridge Health, Inc. | Current | Accepting new patients | |
| Aspirus Riverview Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Prairie Ridge Health Inc. | Current | Accepting new patients | |
| Stateline Anesthesiologists SC | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Racine Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Aspirus Riverview Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc. | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Aspirus Riverview Hospital & Clinics, Inc. | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee Inc | Current | Accepting new patients | |
| Edgerton Hospital and Health Services Inc. | Current | Accepting new patients | |
| Association of Hospital Anesthesiologists SC | Current | 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
- mtennier635925@direct.gundersenhealth.org
- mtennier266464@direct-ehr-ssmhc.com
- him@marshfieldclinichealthsystem.cernerdirect.com
- 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.
-
- General Acute Care Hospital
- Wisconsin Rapids, WI
- NPI 1295754844
-
- Anesthesiology Physician
- Neenah, WI
- NPI 1720076474
-
- Anesthesiology Physician
- Mount Pleasant, WI
- NPI 1467782748
Nurse Anesthetist, Certified Registered
-
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
- Anesthesiology Physician
- Glendale, WI
- NPI 1073832218
-
- Critical Access Hospital
- Edgerton, WI
- NPI 1154350049
-
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
-
- Critical Access Hospital
- Ladysmith, WI
- NPI 1952890873
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Health Clinic/Center
- Marshfield, WI
- NPI 1124633870
Hospital
-
- General Acute Care Hospital
- Wisconsin Rapids, WI
- NPI 1295754844
-
- Critical Access Hospital
- Ripon, WI
- NPI 1326493602
-
- Critical Access Hospital
- Berlin, WI
- NPI 1760413777
-
- Critical Access Hospital
- Wautoma, WI
- NPI 1992159289
-
- General Acute Care Hospital
- Neenah, WI
- NPI 1023472842
-
- General Acute Care Hospital
- Menasha, WI
- NPI 1720434806
-
- General Acute Care Hospital
- Neenah, WI
- NPI 1518993880
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1861943409
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1679937494
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.