Michael E Worden, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Ishpeming, MI
NPI 1932181773 · NPPES record last updated May 7, 2019
Key facts
- NPI
- 1932181773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 4704216785 (MI)
- Practice address
- 901 Lakeshore Dr
Ishpeming, MI 49849-1367 - Phone
- (906) 485-2708
- Fax
- (906) 225-3094
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Acquisition Bell Hospital LLC
Practice addresses (Care Compare)
901 Lakeshore Dr
Ishpeming, MI 49849-1367
Phone (906) 486-4431
Hospital & facility affiliations
- Bell Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060321000614 | MI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3870500531 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704216785 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acquisition Bell Hospital LLC | Current |
Accepting new patients | |
| Munising Memorial Hospital Association | Current |
Accepting new patients | |
| Bell Physician Practices Inc | Current |
Accepting new patients | |
| Acquisition Bell Hospital LLC | Current |
Accepting new patients | |
| Munising Memorial Hospital Association | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| South Shore Anesthesia Staffing | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Munising Memorial Hospital Association | Current | Accepting new patients | |
| Bell Physician Practices Inc | Current |
Accepting new patients | |
| Marquette General Hospital, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
901 Lakeshore Dr
Ishpeming, MI 49849
Phone (906) 485-2653
1414 W Fair Ave
Ste 235
Marquette, MI 49855
Phone 9062732223103
1500 Sandpoint Rd
Munising, MI 49862
Phone (906) 387-4110
1514 Sandpoint Rd
Munising, MI 49862
Phone (906) 387-4110
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704216785 | MI | Yes |
Addresses
Primary practice location
901 Lakeshore Dr
Ishpeming, MI 49849-1367
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430077978 | Other | MI | RAILROAD MEDICARE PIN |
| MW216785 | Other | MI | BLUESHIELD PIN |
| 104441649 | Medicaid | MI |
Other providers in Ishpeming, MI
- Steven J Wallner
- Sydnie Wedig
- Angela D Wesselman
- Widcorp PC
- John Wilkinson
- Woven Path Art Therapy and Counseling LLC
All providers in Ishpeming, MI · Certified Registered Nurse Anesthetist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.