Individual provider Active NPI

Michael J Dunnington, CRNA

  • Certified Registered Nurse Anesthetist
  • Rockport, ME
National Provider Identifier
1932566072
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA173036 Issued in ME
Practice address
6 Glen Cove Dr
Rockport, ME 04856-4272
Phone
(207) 921-8400
Fax
(207) 921-5280
NPI assigned
Jan 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 077381-23 NH
Critical Care Medicine Registered Nurse 163WC0200X RN55768 ME
Certified Registered Nurse Anesthetist 367500000X RNA173036 ME Primary

Addresses

Primary practice location

6 Glen Cove Dr
Rockport, ME 04856-4272

Mailing address

30 Abbey Rd
York, ME 03909-6101
Phone (603) 285-1191

Other practice location 1

789 Central Ave
Dover, NH 03820-2526
Phone (603) 609-6819

Other identifiers 1

IdentifierTypeStateIssuer
3112150MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171103001977 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315203536 Reassigns benefits to 3 organizations
I20180423001781 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315203536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 706-3280

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Jan 20, 2020 Accepting new patients
Mainehealth Current Accepting new patients
Mercy Hospital CurrentSince Jan 8, 2023 Accepting new patients
York Hospital CurrentSince Apr 5, 2021 Accepting new patients
Mainehealth CurrentSince Oct 2, 2017 Accepting new patients
North American Partners in Anesthesia New Hampshire LLP CurrentSince Apr 1, 2018 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Jan 20, 2020 Accepting new patients
Mainehealth CurrentSince Oct 2, 2017 Accepting new patients
Dartmouth-Hitchcock Clinic Past Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

789 Central Ave
Fl 3
Dover, NH 03820

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1932566072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ABBEY RD",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039096101",
            "telephone_number": "603-285-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GLEN COVE DR",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564272",
            "telephone_number": "207-921-8400",
            "fax_number": "207-921-5280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "789 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038202526",
            "country_code": "US",
            "telephone_number": "603-609-6819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNNINGTON",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-20",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "077381-23",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "ME",
            "license": "RN55768",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA173036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3112150",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.