Individual provider Active NPI

Michael J. Wellman, CRNA

  • Certified Registered Nurse Anesthetist
  • Austin, TX
National Provider Identifier
1982664546
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
529319 Issued in TX
Practice address
8140 N Mopac Expy Ste 3-210
Austin, TX 78759-8862
Phone
(512) 343-2292
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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 529319 TX Primary

Addresses

Primary practice location

8140 N Mopac Expy Ste 3-210
Austin, TX 78759-8862

Mailing address

8140 N Mopac Expy
Suite 3-210
Austin, TX 78759-8837
Phone (512) 493-9227

Other identifiers 2

IdentifierTypeStateIssuer
038211OtherTXCRNA CERTIFICATE
1782831-01MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050815000712 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547290041 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Gastroenterology Anesthesia Associates PLLCGroup PAC ID 6305138603, 22 clinicians

Practice addresses (Care Compare)

4310 James Casey St
Suite 4B
Austin, TX 78745-1120
Phone (512) 532-8000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Anesthesiology Group, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2005 Accepting new patients
Austin Anesthesiology Group PLLC CurrentSince Aug 1, 2005 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
Austin Gastroenterology Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2017 Accepting new patients
Balcones Anesthesiologists, P.a. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

8015 Shoal Creek Blvd
Ste 300
Austin, TX 78757
Phone (512) 371-1519

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

8140 N Mopac Expy
Ste 3210
Austin, TX 78759
Phone (512) 343-2292

8015 Shoal Creek Blvd
Austin, TX 78757
Phone (512) 971-1519

4310 James Casey St
Ste 4B
Austin, TX 78745
Phone (512) 407-8444

3944 Ranch Road 620 S
Ste 103
Bee Cave, TX 78738
Phone (512) 371-1519

3030 S Gessner Rd
Ste 150
Houston, TX 77063
Phone (713) 587-0909

8550 Datapoint Dr
Ste 100
San Antonio, TX 78229
Phone (210) 615-7232

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1982664546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 N MOPAC EXPY",
            "address_2": "SUITE 3-210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598837",
            "telephone_number": "512-493-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 N MOPAC EXPY STE 3-210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598862",
            "telephone_number": "512-343-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLMAN",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "529319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNA CERTIFICATE",
            "identifier": "038211",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1782831-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.