Individual provider Active NPI

Michael Koenig, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Cordova, TN
National Provider Identifier
1962022020
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
27694 Issued in TN
Practice address
1614 Dexter Lake Dr Apt 304
Cordova, TN 38016-1320
Phone
(615) 775-4115
NPI assigned
Apr 19, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 208343 TN
Certified Registered Nurse Anesthetist 367500000X 4035706 KY
Certified Registered Nurse Anesthetist 367500000X 27694 TN Primary

Addresses

Primary practice location

1614 Dexter Lake Dr Apt 304
Cordova, TN 38016-1320

Mailing address

1614 Dexter Lake Dr Apt 304
Cordova, TN 38016-1320
Phone (615) 775-4115

Other practice location 1

110 29th Ave N Ste 202
Nashville, TN 37203-1448
Phone (615) 327-4304

Other practice location 2

530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 562-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200812003264 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638595390 Reassigns benefits to 2 organizations
I20250806002909 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638595390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Tennessee, HSC, College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Medical Group, P.C.Group PAC ID 6901702307, 439 clinicians
Nashville Anesthesia PLLCGroup PAC ID 1557350501, 62 clinicians
University of Louisville Physicians IncGroup PAC ID 3476725599, 1,438 clinicians

Practice addresses (Care Compare)

110 29TH Ave N
Nashville, TN 37203-1448
Phone (615) 327-4304

110 29TH N Ave
Suite 202
Nashville, TN 37203-1448
Phone (615) 327-4304

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000

391 Wallace Rd
Nashville, TN 37211-4851
Phone (954) 939-5000

530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 562-3000

Hospital & facility affiliations

  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040
  • Tristar Southern Hills Medical Center Hospital, Nashville, TN, CCN 440197
  • Tristar Stonecrest Medical Center Hospital, Smyrna, TN, CCN 440227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
208343TNMDRegistered Nurse
27694TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Anesthesia Medical Group, PC CurrentSince Jul 15, 2020 Accepting new patients
Nashville Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Aug 1, 2025 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Anesthesia Medical Group, PC Nurse Anesthetist, Certified Registered CurrentSince Jul 15, 2020 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

397 Wallace Rd
Ste 407
Nashville, TN 37211
Phone (615) 832-5530

394 Harding Pl
Ste 100
Nashville, TN 37211
Phone (615) 234-0460

110 29th Ave N
Ste 202
Nashville, TN 37203
Phone (615) 327-7870

391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253

200 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 768-2000

Organizations & group practices 7

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.

Hospital & facility affiliations 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1587254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1962022020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 DEXTER LAKE DR APT 304",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380161320",
            "telephone_number": "615-775-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 DEXTER LAKE DR APT 304",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380161320",
            "telephone_number": "615-775-4115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 29th Ave N Ste 202",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031448",
            "country_code": "US",
            "telephone_number": "615-327-4304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 S Jackson St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021675",
            "country_code": "US",
            "telephone_number": "502-562-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "MICHAEL",
        "credential": "DNP, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-19",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "208343",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "4035706",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "27694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.