Individual provider Active NPI

Michael Newbury, CRNA

  • Certified Registered Nurse Anesthetist
  • Orem, UT
National Provider Identifier
1942952361
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9808033-8901 Issued in UT
Practice address
750 W 800 N
Orem, UT 84057-3660
Phone
(801) 714-6000
NPI assigned
Jan 26, 2022
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 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 9808033-8901 UT Primary

Addresses

Primary practice location

750 W 800 N
Orem, UT 84057-3660

Mailing address

1171 N Ponderosa LN
Spanish Fork, UT 84660-6237
Phone (814) 715-4324

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220301001752 UT Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143614552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Anesthesia, LLCGroup PAC ID 4486993862, 12 clinicians

Practice addresses (Care Compare)

1393 E Sego Lily Dr
Sandy, UT 84092-4350
Phone (801) 495-5725

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9808033-8901UTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Anesthesia LC CurrentSince Feb 1, 2022 Accepting new patients
Utah Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 21, 2023 Accepting new patients

Locations

750 W 800 N
Orem, UT 84057
Phone (801) 714-6000

1954 E Fort Union Blvd
Ste 105
Salt Lake Cty, UT 84121
Phone (801) 993-9524

1393 E Sego Lily Dr
Ste 3
Sandy, UT 84092
Phone (801) 495-5725

10150 S Petunia Way
Lowr
Sandy, UT 84092

1393 E Sego Lily Dr
Sandy, UT 84092
Phone (801) 495-5725

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1942952361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 N PONDEROSA LN",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846606237",
            "telephone_number": "814-715-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W 800 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840573660",
            "telephone_number": "801-714-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBURY",
        "first_name": "MICHAEL",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "9808033-8901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.